MARK MINTUN

SAINT LOUIS, MO
NPI1144314485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085N0904X 
(Licence: MO  R6C45)
Additional Taxonomies207U00000X Nuclear Medicine
(Licence: MO  R6C45)
Enumeration Date2006-10-03
Last Update Date2010-08-10
Business Address
Dr. MARK MINTUN MD
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7092
Mailing Address
Dr. MARK MINTUN MD
660 S EUCLID AVE C B 8131
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-7092
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