Individual provider · NPI-1

Dr. Eric D Lederman, M.D.

Colon & Rectal Surgery · Saint Louis, MO

NPI number1255368973
StatusActive
Last updated in NPPESJun 30, 2010

Details

NPI
1255368973
Entity type
Individual (NPI-1)
Name
Dr. Eric D Lederman
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2006
Last updated
Jun 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery114589MOYes

Practice location

555 N. New Ballas
Suite 265
Saint Louis, MO 63141-2330

Phone 314-991-4644 · Fax 314-991-4910

Mailing address

555 N. New Ballas
Suite 265
Saint Louis, MO 63141-2330

Phone 314-991-4644 · Fax 314-991-4910

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