Bolesta, Edward Stephen

Bolesta, Edward Stephen is an individual health care provider with primary practice located at 1402 S Grand , St Louis MO 63104. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Forensic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Bolesta, Edward Stephen can be contacted via phone (314) 577-8000.

Contact Information

Primary practice address
1402 S Grand St Louis MO 63104
Phone: (314) 577-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 36579 Missouri
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 36579 Missouri
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 36579 Missouri

Profile Details

NPI number 1366456840
LBN Legal business name Bolesta, Edward Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 17th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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