Healthcare Provider Details
I. General information
NPI: 1881633931
Provider Name (Legal Business Name): THOMAS MURRAY SILER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/05/2006
Last Update Date: 05/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 1ST CAPITOL DR
SAINT CHARLES MO
63301-2844
US
IV. Provider business mailing address
330 1ST CAPITOL DR SUITE 470
SAINT CHARLES MO
63301-2835
US
V. Phone/Fax
- Phone: 636-947-5000
- Fax: 636-947-5090
- Phone: 636-946-1650
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | R6D67 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | R6D67 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | R6D67 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: