Search › Missouri › 207R00000X
Do Park
NPI 1962151654 · on the registry since 2022
Practice
- Address
- 1008 S Spring Ave Ste 2100
Saint Louis, MO 63110 - Phone
- (314) 617-3287
- Organisation at this address
- Imagine Academy Of Esm
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-17
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