ANDREW T BLACKBURNE

SAINT LOUIS, MO
NPI1437412582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MO  2017014167)
Additional Taxonomies208800000X Urology
(Licence: IL  036156280)
Enumeration Date2012-06-22
Last Update Date2021-12-01
Business Address
ANDREW T BLACKBURNE MD
450 N NEW BALLAS RD STE 150N
SAINT LOUIS, MO 63141-6835
Phone number: 314-315-9914
Mailing Address
ANDREW T BLACKBURNE MD
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141-8657
Phone number: 314-567-6071