Active NPI 1326269648 Individual Practitioner Male Practitioner

Dr. Jack Roh Oak , MD

Surgery - Vascular Surgery • Bridgeton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Oak, MD is a certified Surgery - Vascular Surgery practicing in Bridgeton, MO. With approximately 25 years of clinical experience since graduating from University Of California, San Diego School Of Medicine in 2001, Dr. Oak delivers high-quality medical care to the local community at 12266 DE PAUL DR STE 305.

Dr. Oak is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound study of arm and leg arteries, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12266 De Paul Dr Ste 305

Bridgeton, MO 630442514

Telephone 3147700991

Associated Practice Facility / Clinic

🏢 Surgical Arts Of St Louis,ltd Facility NPI 1710999115

Medicare Profile & Education

Medical School

University Of California, San Diego School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Bridgeton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -8.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Bridgeton, MO (105 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oak (25 Years) 25 Yrs

Bridgeton Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	62	$138.17	$65.28
93922 Ultrasound study of arm and leg arteries	62	57	$85.00	$11.68
93970 Ultrasound study of arm or leg veins with compression and maneuvers	40	39	$294.00	$32.34
93880 Ultrasound of both sides of head and neck blood flow	35	35	$327.00	$36.50
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$190.00	$87.82
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	33	33	$125.00	$20.67
93926 Ultrasound of one leg arteries or artery grafts	31	25	$150.00	$22.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$321.92	$131.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$68.95	$35.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$176.60	$81.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	15	$300.00	$129.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$363.00	$157.40
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	14	$217.00	$81.20
76937 Ultrasonic guidance for blood vessel access	13	13	$58.00	$13.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$245.83	$96.36
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	12	$264.00	$66.80
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$225.00	$82.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	184	180	$127.25	$32.33
93880 Ultrasound of both sides of head and neck blood flow	156	155	$160.13	$37.28
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	133	132	$73.93	$20.81
93922 Ultrasound study of arm and leg arteries	80	79	$59.23	$11.86
93922 Ultrasound study of arm and leg arteries	67	55	$386.52	$67.34
93880 Ultrasound of both sides of head and neck blood flow	54	52	$604.81	$183.01
93926 Ultrasound of one leg arteries or artery grafts	35	28	$476.80	$121.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$415.00	$162.14
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$191.43	$87.79
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	24	$503.50	$171.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$327.05	$126.71
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$104.48	$64.17
93926 Ultrasound of one leg arteries or artery grafts	15	12	$126.07	$22.11
93925 Ultrasound of leg arteries or artery grafts	14	13	$735.71	$233.35
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	11	$393.43	$115.92
75625 Radiological supervision and interpretation X-ray of abdominal aorta	14	13	$1062.86	$65.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$139.29	$54.80
76937 Ultrasonic guidance for blood vessel access	14	14	$58.86	$13.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$267.15	$100.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$168.80	$80.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	314	309	$87.00	$33.49
93880 Ultrasound of both sides of head and neck blood flow	299	299	$86.00	$38.52
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	237	234	$51.00	$21.25
93922 Ultrasound study of arm and leg arteries	152	118	$215.55	$68.72
93880 Ultrasound of both sides of head and neck blood flow	140	130	$432.00	$190.16
93922 Ultrasound study of arm and leg arteries	118	118	$32.00	$12.14
93926 Ultrasound of one leg arteries or artery grafts	78	57	$336.35	$127.26
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	55	50	$428.00	$175.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$324.00	$165.32
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$195.00	$96.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$212.00	$109.41
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$144.00	$89.94
75625 Radiological supervision and interpretation X-ray of abdominal aorta	30	27	$414.00	$66.00
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	30	27	$235.00	$80.43
76937 Ultrasonic guidance for blood vessel access	26	23	$50.00	$13.27
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	25	23	$268.00	$119.02
93925 Ultrasound of leg arteries or artery grafts	20	18	$512.00	$244.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$276.38	$132.71
93923 Complete ultrasound study of arm and leg arteries	16	16	$59.00	$21.93
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$403.00	$189.36
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$5856.00	$829.91
93926 Ultrasound of one leg arteries or artery grafts	11	11	$55.00	$22.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	389	374	$84.00	$33.42
93880 Ultrasound of both sides of head and neck blood flow	371	371	$83.91	$38.31
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	283	278	$49.00	$21.71
93922 Ultrasound study of arm and leg arteries	139	110	$211.00	$70.73
93922 Ultrasound study of arm and leg arteries	137	135	$31.00	$12.56
93880 Ultrasound of both sides of head and neck blood flow	130	120	$419.00	$195.48
93926 Ultrasound of one leg arteries or artery grafts	79	59	$330.00	$128.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$314.00	$165.65
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	46	45	$415.00	$180.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	35	$263.00	$134.37
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$139.00	$91.03
75625 Radiological supervision and interpretation X-ray of abdominal aorta	26	24	$401.00	$68.40
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	24	20	$260.00	$120.00
93990 Ultrasound of dialysis access	24	18	$360.00	$124.70
93925 Ultrasound of leg arteries or artery grafts	24	19	$497.00	$254.11
93923 Complete ultrasound study of arm and leg arteries	23	23	$57.00	$21.68
76937 Ultrasonic guidance for blood vessel access	19	18	$48.00	$13.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.00	$111.91
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	15	$228.00	$83.89
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	14	$379.64	$184.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$78.00	$37.95
93926 Ultrasound of one leg arteries or artery grafts	12	11	$53.00	$23.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	358	342	$81.00	$34.86
93880 Ultrasound of both sides of head and neck blood flow	308	308	$80.00	$40.06
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	278	270	$47.00	$22.40
93922 Ultrasound study of arm and leg arteries	130	93	$204.00	$71.45
93922 Ultrasound study of arm and leg arteries	108	108	$33.22	$12.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$304.00	$162.51
93926 Ultrasound of one leg arteries or artery grafts	64	43	$320.00	$132.16
93880 Ultrasound of both sides of head and neck blood flow	63	61	$406.00	$194.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	42	$255.00	$138.16
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	43	37	$399.00	$182.75
99213 Established patient office or other outpatient visit, typically 15 minutes	41	32	$134.00	$74.31
75625 Radiological supervision and interpretation X-ray of abdominal aorta	29	27	$389.00	$70.69
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	20	$221.00	$86.96
76937 Ultrasonic guidance for blood vessel access	22	21	$46.00	$14.58
93925 Ultrasound of leg arteries or artery grafts	21	14	$482.00	$250.71
93926 Ultrasound of one leg arteries or artery grafts	18	14	$51.00	$24.62
93923 Complete ultrasound study of arm and leg arteries	14	14	$55.00	$22.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	12	$236.23	$111.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	346	345	$77.00	$39.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	325	320	$78.00	$34.58
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	299	287	$45.00	$22.52
93922 Ultrasound study of arm and leg arteries	138	102	$195.55	$68.92
93922 Ultrasound study of arm and leg arteries	113	112	$29.00	$12.73
93880 Ultrasound of both sides of head and neck blood flow	89	75	$394.00	$193.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$295.00	$162.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	81	$247.00	$135.84
93926 Ultrasound of one leg arteries or artery grafts	79	56	$303.39	$127.33
99213 Established patient office or other outpatient visit, typically 15 minutes	52	45	$130.00	$72.74
75625 Radiological supervision and interpretation X-ray of abdominal aorta	41	38	$377.00	$55.86
76937 Ultrasonic guidance for blood vessel access	41	39	$44.00	$14.45
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	41	36	$214.00	$86.60
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	39	35	$387.00	$179.77
93925 Ultrasound of leg arteries or artery grafts	26	21	$467.00	$248.34
93923 Complete ultrasound study of arm and leg arteries	23	23	$53.00	$22.27
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	16	$178.50	$42.74
93926 Ultrasound of one leg arteries or artery grafts	20	18	$49.00	$24.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$72.00	$39.12
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	16	16	$5525.44	$985.86
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	16	$594.90	$120.84
35301 Removal of blood clot and portion of artery of neck	16	16	$2750.31	$1166.12
37228 Balloon dilation of artery of leg, initial vessel	15	14	$1502.00	$542.15
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	14	14	$2697.00	$233.10
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	11	$244.00	$115.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	275	271	$76.00	$34.43
93880 Ultrasound of both sides of head and neck blood flow	258	258	$75.00	$39.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	249	243	$44.00	$22.45
93922 Ultrasound study of arm and leg arteries	167	115	$190.04	$70.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$286.00	$159.94
93926 Ultrasound of one leg arteries or artery grafts	94	60	$298.31	$130.87
93922 Ultrasound study of arm and leg arteries	81	79	$28.00	$12.70
93880 Ultrasound of both sides of head and neck blood flow	69	61	$383.00	$194.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	59	$240.00	$135.96
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$126.00	$71.70
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	49	41	$208.00	$86.47
76937 Ultrasonic guidance for blood vessel access	48	42	$43.00	$14.44
75625 Radiological supervision and interpretation X-ray of abdominal aorta	45	40	$366.00	$56.14
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	44	38	$369.23	$179.51
93925 Ultrasound of leg arteries or artery grafts	30	23	$453.00	$254.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	20	$70.00	$39.02
37226 Insertion of stent in arteries of leg	28	22	$1218.00	$405.25
93923 Complete ultrasound study of arm and leg arteries	27	27	$51.00	$22.23
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	20	18	$2748.90	$241.41
93926 Ultrasound of one leg arteries or artery grafts	19	17	$48.00	$24.33
35301 Removal of blood clot and portion of artery of neck	18	15	$2629.00	$1134.62
37228 Balloon dilation of artery of leg, initial vessel	17	13	$1458.00	$512.90
35371 Removal of blood clot and portion of artery of upper thigh artery	13	12	$2353.08	$470.13
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	11	$237.00	$118.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	183	182	$81.00	$39.60
93970 Ultrasound study of arm or leg veins with compression and maneuvers	164	156	$76.00	$34.70
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	130	128	$47.00	$22.06
93922 Ultrasound study of arm and leg arteries	125	84	$195.00	$70.43
93926 Ultrasound of one leg arteries or artery grafts	86	56	$340.00	$129.19
93880 Ultrasound of both sides of head and neck blood flow	65	56	$414.00	$192.95
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	55	39	$139.00	$56.18
99213 Established patient office or other outpatient visit, typically 15 minutes	50	35	$132.00	$71.31
76937 Ultrasonic guidance for blood vessel access	48	40	$29.73	$14.37
99221 Initial hospital inpatient care per day, typically 30 minutes	42	40	$187.00	$100.53
93922 Ultrasound study of arm and leg arteries	38	38	$27.00	$12.38
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	37	35	$402.81	$180.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$196.00	$101.85
75625 Radiological supervision and interpretation X-ray of abdominal aorta	32	30	$155.00	$55.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$251.00	$135.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$300.00	$151.09
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	22	20	$789.00	$198.54
37226 Insertion of stent in arteries of leg	21	20	$1256.00	$424.78
93923 Complete ultrasound study of arm and leg arteries	20	20	$49.00	$22.50
93925 Ultrasound of leg arteries or artery grafts	19	17	$521.00	$249.39
37228 Balloon dilation of artery of leg, initial vessel	14	12	$2278.43	$542.12
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	12	11	$660.00	$153.16
93923 Complete ultrasound study of arm and leg arteries	12	12	$302.00	$123.51
36200 Insertion of catheter into aorta	12	12	$392.71	$75.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$195.00	$98.99

Medical Specialties & State Licenses

CMS Verified: 2023-08-01

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MO 2003009197

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

209363209 (MO)

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

12266 De Paul Dr, Bridgeton, MO 630442514

Phone: 3147700991

Secondary Practice Locations

555 N New Ballas Rd, Div Surg Vascular, Ste 265

Saint Louis, MO 631416825

Phone: 3149914644

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Dr. Nicholas Piening , MD

Surgery - Vascular Surgery

NPI 1073178786

Doctor of Medicine (M.D.)

Dr. Kyle Christensen , DO

Surgery

NPI 1164804035

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Bocchini , MD

Radiology - Vascular & Interventional Radiology

NPI 1194765578

Doctor of Medicine (M.D.)

Dr. Anil Srivastava , MD

Surgery

NPI 1205920220

Doctor of Medicine (M.D.)

Dr. Joshua Glaser , MD

Surgery

NPI 1235245598

Doctor of Medicine (M.D.)

Dr. Thanh-Mai Vo , MD

Internal Medicine - Nephrology

NPI 1235367160

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location August 01, 2023

Registered at 12266 DE PAUL DR STE 305, BRIDGETON, MO 630442514 (Tel: 3147700991)

📍

Updated Practice Location March 14, 2023

Registered at 555 N NEW BALLAS RD, DIV SURG VASCULAR, STE 265, SAINT LOUIS, MO 631416825 (Tel: 3149914644)

📍

Updated Business Mailing Address March 14, 2023

Registered at 660 S EUCLID AVE, MSC 8109-05-04, SAINT LOUIS, MO 631101010 (Tel: 3149914644)

👤

Provider Name / Credentials Updated March 14, 2023

Recorded as JACK OAK, MD

📍

Updated Business Mailing Address November 23, 2022

Registered at 355 WILLOW WEALD PATH, CHESTERFIELD, MO 630051294 (Tel: 3143041418)

📍

Updated Practice Location October 29, 2021

Registered at 555 N NEW BALLAS RD STE 265, SAINT LOUIS, MO 631416886 (Tel: 3149914644)

📍

Updated Business Mailing Address October 29, 2021

Registered at 555 N NEW BALLAS RD STE 265, SAINT LOUIS, MO 631416886 (Tel: 3149914644)

✅

NPI Profile Active October 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2016

Registered at 226 S WOODS MILL RD, SUITE 49 W, CHESTERFIELD, MO 630173662 (Tel: 3144341211)

📍

Updated Business Mailing Address October 05, 2016

Registered at 226 S. WOODS MILL RD., SUITE 49 W, SAINT LOUIS, MO 630173663 (Tel: 3144341211)

👤

Provider Name / Credentials Updated October 05, 2016

Recorded as JACK OAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2016

Surgery (License #2003009197 in MO)

🟢

Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326269648

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2007

Last Update: August 01, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

660 S Euclid Ave, Msc 8109-05-04

Saint Louis, MO 631101010

Phone: 3149914644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.