John Tycher
Plastic Surgery in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164031738
StatusActive
Last updated in NPPESJun 15, 2024
Details
- NPI
- 1164031738
- Entity type
- Individual (NPI-1)
- Name
- John Tycher
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2020
- Certification date
- Jun 15, 2024
- Last updated
- Jun 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 2024018795 | MO | Yes |
Practice location
1 Barnes Jew Hosp PlzSaint Louis, MO 63110-1003
Phone 314-362-7388
Mailing address
660 S Euclid Ave # 8238Saint Louis, MO 63110-1010
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