THEODORE HARPER

SAINT LOUIS, MO
NPI1023509320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036156229)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-05-22
Last Update Date2021-07-19
Business Address
THEODORE HARPER MD
3635 VISTA AVE
SAINT LOUIS, MO 63110
Phone number: 404-735-4188
Mailing Address
THEODORE HARPER MD
3635 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 404-735-4188