Healthcare Provider Details

I. General information

NPI: 1548252554
Provider Name (Legal Business Name): GREGORY CURRIER RINEHART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S KIRKWOOD RD STE 160
KIRKWOOD MO
63122-7254
US

IV. Provider business mailing address

1001 S KIRKWOOD RD STE 160
KIRKWOOD MO
63122-7254
US

V. Phone/Fax

Practice location:
  • Phone: 314-984-0461
  • Fax: 314-909-8981
Mailing address:
  • Phone: 314-984-0461
  • Fax: 314-909-8981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberR2H37
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: