Neal Thomas Decosta MD

NPI 1023097524 - Anesthesiology - 207L00000X

NPI Details
NPI 1023097524
Gender Male
Enumeration Date 01/12/2006
Last Updated 05/22/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
520 S ELM AVE
WEBSTER GROVES MO, 63119-3845, US
Phone (314) 962-3464
Fax
Business Location
501 GLADES RD
BOCA RATON FL, 33432-1419, US
Phone (561) 939-5500
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Missouri
License Number 104301
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According to our database, Dr. Neal Thomas Decosta MD NPI is 1023097524, taxonomy code is 207L00000X and license number is 104301, license state is located at Missouri. Neal Thomas Decosta MD physically located at 520 S Elm Ave, Webster Groves MO, 63119-3845. NPI Number Neal Thomas Decosta MD has the Individual type.

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1023097524 NPI number is provided on an as is basis without warranty of any kind. 1023097524 is maintained by the National Plan & Provider Enumeration System. The contents of Neal Thomas Decosta MD are for informational purposes only.