Allen D Baudendistel M.D.

NPI 1861497604 - Anesthesiology - 207L00000X

NPI Details
NPI 1861497604
Gender Male
Enumeration Date 06/17/2005
Last Updated 02/19/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
3015 N BALLAS RD
SAINT LOUIS MO, 63131-2329, US
Phone (314) 996-5330
Fax (314) 810-1399
Business Location
2931 DEVONDALE PL
SAINT LOUIS MO, 63131-2520, US
Phone
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Missouri
License Number R1K01
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According to our database, Allen D Baudendistel M.D. NPI is 1861497604, taxonomy code is 207L00000X and license number is R1K01, license state is located at Missouri. Allen D Baudendistel M.D. physically located at 3015 N Ballas Rd, Saint Louis MO, 63131-2329. NPI Number Allen D Baudendistel M.D. has the Individual type.

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1861497604 NPI number is provided on an as is basis without warranty of any kind. 1861497604 is maintained by the National Plan & Provider Enumeration System. The contents of Allen D Baudendistel M.D. are for informational purposes only.