What is Mark Mintun's NPI number?

The NPI number assigned to this healthcare provider is 1144314485, enumerated as a individual on October 3, 2006.

Where is the provider located?

The provider is located at 510 S KINGSHIGHWAY BLVD SAINT LOUIS, MO 63110 and the phone number is (314) 362-7092.

What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085N0904X and a focus in Nuclear Radiology.

DR. MARK MINTUN MD - NPI 1144314485 - Radiology in Saint Louis, MO

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About Dr. Mark Mintun Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK MINTUN MD (NPI 1144314485) is an individual nuclear radiology provider in Saint Louis, Missouri, licensed in Missouri (R6C45) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1144314485

Entity TypeIndividualMale

Primary Taxonomy2085N0904X

Provider Legal NameDR. MARK MINTUNCredential: MD

Location Address510 S KINGSHIGHWAY BLVDSaint Louis, MO 63110-1016

Mailing Address660 S Euclid Ave, C B 8131Saint Louis, MO 63110-1010 · (314) 362-7092 · Fax (314) 747-4189

Phone(314) 362-7092

Fax(314) 747-4189

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 10, 2010

✔ NPI 1144314485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0904X

License✔ Licensed in MO · R6C45

Definition

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Also ListedNuclear MedicineTaxonomy 207U00000X · License R6C45 (MO)

510 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110

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