Timothy Patrick Rearden MD

NPI 1962410829 - Internal Medicine - 207RH0003X

NPI Details
NPI 1962410829
Gender Male
Enumeration Date 08/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11125 DUNN RD
STE 100
ST LOUIS MO, 63136-6173, US
Phone (314) 355-5597
Fax (314) 355-5526
Business Location
11125 DUNN RD
STE 100
ST LOUIS MO, 63136-6132, US
Phone (314) 355-5597
Fax (314) 355-5526
Toxanomy
Taxonomy Code 207RH0003X
License State Missouri
License Number R2H83
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According to our database, Timothy Patrick Rearden MD NPI is 1962410829, taxonomy code is 207RH0003X and license number is R2H83, license state is located at Missouri. Timothy Patrick Rearden MD physically located at 11125 Dunn Rd, St Louis MO, 63136-6173. NPI Number Timothy Patrick Rearden MD has the Individual type.

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1962410829 NPI number is provided on an as is basis without warranty of any kind. 1962410829 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Patrick Rearden MD are for informational purposes only.