Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MDR6776 | MO |
NPI | 1013082940 |
---|---|
Provider Name | Dr. David Caplin |
First Address | Saint Louis, MO 63131-3109 |
Second Address | Saint Louis, MO 63141-7134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 03/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A09814 | (02) | MO |