NPI 1134195621 DR. LEO A WHITESIDE M.D. CHESTERFIELD MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Leo A Whiteside - NPI: 1134195621

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. LEO A WHITESIDE
NPI Number: 1134195621
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: R4328
Business Practice Address: 1000 Des Peres Rd
Suite 120 Saint Louis, MO - 631312050
Business Phone Number: 3142052223
Business Fax Number: 3146285331
Mailing Address: 14825 Sugarwood Trail Dr,
CHESTERFIELD
State: MO
Postal Code: 630175523
Phone Number: 3142052223
Fax Number: 3146285331
NPI Enumeration Date: 02/24/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 174400000X
License Number: R4328
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MO
Taxonomy Type: Other Service Providers
Taxonomy Classification: Specialist
Taxonomy Specialization:
Taxonomy Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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