Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2011020336 | MO |
NPI | 1033326137 |
---|---|
Provider Name | Luke S Choi |
First Address | Saint Louis, MO 63195-2334 |
Second Address | Chesterfield, MO 63195-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 02/12/2011 |