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Search › Missouri › Plastic and Reconstructive Surgery Physician

Brock Ridenour, MD

NPI 1164536710 · on the registry since 2006 · sole proprietor

Practice

Address
12460 Olive Blvd
Suite 202
Saint Louis, MO 63141
Phone
(314) 909-1202
Fax
(314) 909-1290

Registry record

Primary taxonomy
Plastic and Reconstructive Surgery Physician
2086S0122X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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