Thomas John Kirisits DPM

NPI 1053352005 - Podiatrist - 213E00000X

NPI Details
NPI 1053352005
Gender Male
Enumeration Date 06/09/2006
Last Updated 04/18/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3844 S LINDBERGH BLVD
SUITE 212
SAINT LOUIS MO, 63127-1368, US
Phone (314) 684-9233
Fax (314) 849-5656
Business Location
3844 S LINDBERGH BLVD
SUITE 212
SAINT LOUIS MO, 63127-1368, US
Phone (314) 849-2333
Fax (314) 644-1354
Toxanomy
Taxonomy Code 213E00000X
License State Missouri
License Number 000547
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According to our database, Dr. Thomas John Kirisits DPM NPI is 1053352005, taxonomy code is 213E00000X and license number is 000547, license state is located at Missouri. Thomas John Kirisits DPM physically located at 3844 S Lindbergh Blvd, Saint Louis MO, 63127-1368. NPI Number Thomas John Kirisits DPM has the Individual type.

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1053352005 NPI number is provided on an as is basis without warranty of any kind. 1053352005 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas John Kirisits DPM are for informational purposes only.