Healthcare Provider Details

I. General information

NPI: 1013082940
Provider Name (Legal Business Name): DAVID CAPLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 N NEW BALLAS CT SUITE 300
SAINT LOUIS MO
63141-7134
US

IV. Provider business mailing address

2312 LELAND RIDGE WALK
SAINT LOUIS MO
63131-3109
US

V. Phone/Fax

Practice location:
  • Phone: 314-569-0130
  • Fax: 314-569-3674
Mailing address:
  • Phone: 314-991-5175
  • Fax: 314-569-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMDR6776
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: