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NPI Code Detail

MEDICARE: DR. PAUL F AUSTIN MD

MEDICARE:  DR. PAUL F AUSTIN  MD
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
12088P0231XPediatric Urology Physician2000165887MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669567509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL F AUSTIN MD
Provider Business Mailing Address
First Line : 660 S EUCLID AVE
Second Line : C B 8242
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 314-454-6034
Fax Number : 314-747-4871
Provider Business Practice Location Address
First Line : 1 CHILDRENS PL
Second Line : STE A
City : SAINT LOUIS
State : MO
Zip : 63110-1002
Country : US
Telephone Number : 314-454-6034
Fax Number : 314-747-4871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 11/14/2016

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