SearchMissouri363A00000X

Allen Mathieu, PAC,ATC,MS

NPI 1699850529 · on the registry since 2006

Practice

Address
845 N New Ballas Ct
Ste130
Creve Coeur, MO 63141
Phone
(314) 997-1777
Fax
(314) 977-6277
Organisation at this address
Washington University
Jose J. Derdoy, Md, Llc
Parkcrest Orthopedics, Llc
Creve Coeur Surgery Center Llc
Ssm Health Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
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