Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD STEPHEN BOLESTA, MD
ActiveEDWARD STEPHEN BOLESTA, MD is a Anatomic Pathology healthcare provider located in ST LOUIS, Missouri. NPI 1366456840 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology · ST LOUIS, MO
Registration Details
- NPI Number
- 1366456840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (19.902409877907 yrs)
- Last Updated
- Jan 17, 2017
- Licenses
-
36579 (MO)36579 (MO)36579 (MO)
Practice Information
- Address
-
1402 S GRANDST LOUIS, MO, 63104Browse MO providers · Browse ZIP 63104
- Phone
- 3145778000
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
- Additional Specialty
- Clinical Pathology/Laboratory Medicine
- Additional Specialty
- Forensic Pathology
Other Anatomic Pathology Providers in ST LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| NANCY J PHILLIPS | MD | 1073527552 |
| CHRISTINE M JANNEY | MD | 1902817562 |
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.