Timothy J Reichert MD

NPI 1043275811 - Otolaryngology - 207YP0228X

NPI Details
NPI 1043275811
Gender Male
Enumeration Date 04/17/2006
Last Updated 05/04/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
621 S NEW BALLAS RD
SUITE 622A
SAINT LOUIS MO, 63141-8232, US
Phone (314) 872-8340
Fax (314) 872-8399
Business Location
621 S NEW BALLAS RD
SUITE 622A
SAINT LOUIS MO, 63141-8232, US
Phone (314) 872-8340
Fax (314) 872-8399
Toxanomy
Taxonomy Code 207YP0228X
License State Missouri
License Number R7939
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According to our database, Dr. Timothy J Reichert MD NPI is 1043275811, taxonomy code is 207YP0228X and license number is R7939, license state is located at Missouri. Timothy J Reichert MD physically located at 621 S New Ballas Rd, Saint Louis MO, 63141-8232. NPI Number Timothy J Reichert MD has the Individual type.

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1043275811 NPI number is provided on an as is basis without warranty of any kind. 1043275811 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy J Reichert MD are for informational purposes only.