Search › Missouri › 208000000X
David Wathen, D.O
NPI 1811190408 · on the registry since 2007
Practice
- Address
- 1465 S Grand Blvd
St. Louis, MO 63104 - Phone
- (314) 577-1607
- Fax
- (314) 268-4112
- Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208M00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-17
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