Healthcare Provider Details
I. General information
NPI: 1316035538
Provider Name (Legal Business Name): CONSULTANTS IN WOMEN'S HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2006
Last Update Date: 09/17/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3023 N BALLAS STE 440D
ST LOUIS MO
63131
US
IV. Provider business mailing address
3023 N BALLAS RD SUITE 440D
SAINT LOUIS MO
63131-2330
US
V. Phone/Fax
- Phone: 314-432-8181
- Fax: 314-432-0090
- Phone: 314-432-8181
- Fax: 314-432-0090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
L
WEINSTEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 314-432-8181