Healthcare Provider Details

I. General information

NPI: 1174567176
Provider Name (Legal Business Name): CHRISTOPHER COMPTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 MARYVILLE CENTRE DR STE 340
SAINT LOUIS MO
63141-5831
US

IV. Provider business mailing address

540 MARYVILLE CENTRE DR STE 340
SAINT LOUIS MO
63141-5831
US

V. Phone/Fax

Practice location:
  • Phone: 314-333-6000
  • Fax:
Mailing address:
  • Phone: 314-333-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number115426
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: