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General NPI Number Information
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NPI Number | 1033162094
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Entity Type | Individual
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Provider Name | NECAT HAVLIOGLU MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/15/2011
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Provider Practice Location Address
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Address Line | 3635 VISTA AVE SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
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City | SAINT LOUIS
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State | MO
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Zip | 63110-2539
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Country | US
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Telephone | 314-577-8475
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Fax | 314-268-5478
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Provider Business Mailing Address
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Address Line | 3635 VISTA AVE ST LOUIS UNIVERSITY HOSPITAL PATHOLOGY SERVICES
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City | SAINT LOUIS
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State | MO
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Zip | 63110-2539
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Country | US
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Telephone | 314-577-8475
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Fax | 314-268-5478
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 101149
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License Number State | MO
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