DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK MINTUN, MD

Active

DR. MARK MINTUN, MD is a 2085N0904X healthcare provider located in SAINT LOUIS, Missouri. NPI 1144314485 is currently active in the NPPES registry. Verify at CMS.

2085N0904X · SAINT LOUIS, MO

Registration Details

NPI Number
1144314485
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.886288018529 yrs)
Last Updated
Aug 10, 2010
Licenses
R6C45 (MO)
R6C45 (MO)

Practice Information

Address
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO, 631101016
Browse MO providers · Browse ZIP 63110
Phone
3143627092
Fax
3147474189
Primary Specialty
2085N0904X
2085N0904X
Additional Specialty
2085N0904X

Other 2085N0904X Providers in SAINT LOUIS, MO

Name Credential NPI
DR. THOMAS HELLMUT SCHINDLER MD 1831531300
ADEEL HAQ 1962018382
AHMED TOBAR MD 1164311841
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.