=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164440897
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | REBECCA L AFT MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2006
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4500 FOREST PARK AVE DIV SURG ONCOLOGY, 8TH FL
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63108-2114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-362-2280
-----------------------------------------------------
Fax | 888-352-8360
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14435 LADUE RD
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63017-2525
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-362-2280
-----------------------------------------------------
Fax | 888-352-8360
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086X0206X
-----------------------------------------------------
Taxonomy Name | Surgical Oncology Physician
-----------------------------------------------------
License Number | 101027
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------