Healthcare Provider Details
I. General information
NPI: 1447227061
Provider Name (Legal Business Name): PATRICK F MAJORS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/02/2006
Last Update Date: 10/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3009 N BALLAS RD SUITE 300A
SAINT LOUIS MO
63131-2322
US
IV. Provider business mailing address
3009 N BALLAS RD SUITE 300A
SAINT LOUIS MO
63131-2322
US
V. Phone/Fax
- Phone: 314-872-9900
- Fax: 314-872-3939
- Phone: 314-872-9900
- Fax: 314-872-3939
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | R7474 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: