MEDICARE: DR. SAUL J KLEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	2004001952	MO

General Provider Information

NPI Number	:	1578224598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAUL J KLEIN

Provider Business Mailing Address
First Line	:	11 HUNTLEIGH DOWNS
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-3416
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 HUNTLEIGH DOWNS
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-3416
Country	:	US
Telephone Number	:	314-800-7749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2022
Last Update Date	:	01/02/2022

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