Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 2015015488 | MO |
NPI | 1053710160 |
---|---|
Provider Name | Philippe Joseph Arthur Mercier |
First Address | Saint Louis, MO 63110-2539 |
Second Address | Saint Louis, MO 63104-1016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2014 |
Last Update Date | 12/01/2021 |