Mintun, Mark

Mintun, Mark is an individual health care provider with primary practice located at 510 S Kingshighway Blvd , Saint Louis MO 63110-1016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Mintun, Mark can be contacted via phone (314) 362-7092.

Contact Information

Primary practice address
510 S Kingshighway Blvd Saint Louis MO 63110-1016
Phone: (314) 362-7092
Fax: (314) 747-4189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X R6C45 Missouri
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X R6C45 Missouri

Profile Details

NPI number 1144314485
LBN Legal business name Mintun, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 10th, 2010 - about 14 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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