Search › Missouri › 208000000X
Theodore Sample, M.D
NPI 1922191584 · on the registry since 2006
Practice
- Address
- 621 S. New Ballas Road
Suite 6009-B
St. Louis, MO 63141 - Phone
- (314) 251-6598
- Fax
- (314) 251-7990
- Organisation at this address
- M. Edward Mimlitz Pc
Mercy Clinic Children'S Surgery, Llc
Mercy Clinic Burn And Plastic Surgery, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 208000000X
208000000X
- 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