Paul Alan Klekotka MD

NPI 1093737132 - Dermatology - 207N00000X

NPI Details
NPI 1093737132
Gender Male
Enumeration Date 07/25/2006
Last Updated 01/27/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
4921 PARKVIEW PL
SUITE 5B
SAINT LOUIS MO, 63110-1032, US
Phone (314) 362-2643
Fax (314) 454-5626
Business Location
660 S EUCLID AVE
C B 8123
SAINT LOUIS MO, 63110-1010, US
Phone (314) 362-2643
Fax (314) 454-5626
Toxanomy
Taxonomy Code 207N00000X
License State Missouri
License Number 2006005515
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According to our database, Dr. Paul Alan Klekotka MD NPI is 1093737132, taxonomy code is 207N00000X and license number is 2006005515, license state is located at Missouri. Paul Alan Klekotka MD physically located at 4921 Parkview Pl, Saint Louis MO, 63110-1032. NPI Number Paul Alan Klekotka MD has the Individual type.

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1093737132 NPI number is provided on an as is basis without warranty of any kind. 1093737132 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Alan Klekotka MD are for informational purposes only.