SearchMissouri208600000X

Matthew Lange, DO

NPI 1063775716 · on the registry since 2012

Practice

Address
1000 Des Peres Rd Ste 120
Saint Louis, MO 63131
Phone
(314) 887-7605
Fax
(314) 887-7609
Organisation at this address
Davidson Optometry Pc
Full Circle Rehab Llc
Sbkt Enterprises, Llc
St. Louis Sports Health, Llc
Missouri Bone & Joint Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Additional practice sites

  • 1100 N Kentucky Ave, West Plains, MO

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri