Healthcare Provider Details

I. General information

NPI: 1265467377
Provider Name (Legal Business Name): CYRIL WILLIAM HELM MB. BCHIJ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 BELLEVUE AVE SUITE 400
SAINT LOUIS MO
63117-1818
US

IV. Provider business mailing address

6420 CLAYTON RD SUITE 290
SAINT LOUIS MO
63117-1811
US

V. Phone/Fax

Practice location:
  • Phone: 314-977-7455
  • Fax: 314-977-7477
Mailing address:
  • Phone: 314-781-8605
  • Fax: 314-646-8627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number2010035442
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number36116
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: