Individual provider · NPI-1

Patrick Chizek

Colon & Rectal Surgery · Saint Louis, MO

NPI number1245790294
StatusActive
Last updated in NPPESSep 12, 2025

Details

NPI
1245790294
Entity type
Individual (NPI-1)
Name
Patrick Chizek
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2019
Certification date
Sep 12, 2025
Last updated
Sep 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery2025032761MOYes

Practice location

10012 Kennerly Rd Ste 102
Saint Louis, MO 63128-2197

Phone 314-543-5240 · Fax 314-543-5239

Mailing address

10012 Kennerly Rd Ste 102
Saint Louis, MO 63128-2197

Phone 314-543-5240 · Fax 314-543-5239

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