Healthcare Provider Details

I. General information

NPI: 1780756403
Provider Name (Legal Business Name): MYRTO FRANGOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16216 BAXTER RD SUITE 299
CHESTERFIELD MO
63017
US

IV. Provider business mailing address

16216 BAXTER RD SUITE 299
CHESTERFIELD MO
63017
US

V. Phone/Fax

Practice location:
  • Phone: 636-530-9999
  • Fax: 636-530-0977
Mailing address:
  • Phone: 636-530-9999
  • Fax: 636-530-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMDRL34
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMDRL34
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: