Healthcare Provider Details

I. General information

NPI: 1629410030
Provider Name (Legal Business Name): JAMES THOMAS WILLIAM SAUNDERS M.D., B.SC.(H)
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 SOUTH EUCLID, 1150 NW TOWER CAMPUS BOX 8238, DIVISION OF PLASTIC SURGERY
SAINT LOUIS MO
63110
US

IV. Provider business mailing address

660 SOUTH EUCLID, 1150 NW TOWER CAMPUS BOX 8238, DIVISION OF PLASTIC SURGERY
SAINT LOUIS MO
63110
US

V. Phone/Fax

Practice location:
  • Phone: 314-502-6004
  • Fax:
Mailing address:
  • Phone: 314-502-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: