Search › Missouri › 207L00000X
Theodis Maltbia, MD
NPI 1841759933 · on the registry since 2019
Practice
- Address
- 1402 S Grand Blvd # M260
Saint Louis, MO 63104 - Phone
- (314) 977-9851
- Fax
- (314) 977-9852
- Clinicians at this address
- 56
Additional practice sites
- 2175 Rosaline Ave, Redding, CA
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-25
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