Healthcare Provider Details

I. General information

NPI: 1306828074
Provider Name (Legal Business Name): ALVIN K SCHERGEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 12/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 CLAYTON RD SUITE 302
SAINT LOUIS MO
63117-1850
US

IV. Provider business mailing address

10777 SUNSET OFFICE DR SUITE 310
SAINT LOUIS MO
63127-1019
US

V. Phone/Fax

Practice location:
  • Phone: 314-645-3370
  • Fax: 314-645-0576
Mailing address:
  • Phone: 314-822-5900
  • Fax: 314-822-5919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberR8B76
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: