Doctor Name: | DR. ANDREW CREIGHTON |
NPI Number: | 1982021374 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 4444 Forest Park Campus Box 8518 St. Louis, MO - 631082212 |
Business Phone Number: | 3144547757 |
Business Fax Number: | |
Mailing Address: | 4444 Forest Park Ave Campus Box 8518, SAINT LOUIS |
State: | MO |
Postal Code: | 631082212 |
Phone Number: | 3144547757 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |