Healthcare Provider Details

I. General information

NPI: 1528829330
Provider Name (Legal Business Name): CHESTERFIELD PLASTIC SURGERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SAINT LUKES CENTER DR STE 46
CHESTERFIELD MO
63017-3509
US

IV. Provider business mailing address

111 SAINT LUKES CENTER DR STE 46
CHESTERFIELD MO
63017-3509
US

V. Phone/Fax

Practice location:
  • Phone: 314-205-6420
  • Fax: 314-590-5950
Mailing address:
  • Phone: 314-205-6420
  • Fax: 314-590-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT EDWARD GEIGER
Title or Position: SURGEON
Credential: MD
Phone: 314-496-6477