Individual provider · NPI-1

Dr. Georgios Alexopoulos, MD

Neurological Surgery · Saint Louis, MO

NPI number1417309097
StatusActive
Last updated in NPPESJul 10, 2018

Details

NPI
1417309097
Entity type
Individual (NPI-1)
Name
Dr. Georgios Alexopoulos
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2016
Last updated
Jul 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery2018024718MOYes
207T00000X Neurological Surgery272826MA
208600000X Surgery125068678IL

Practice location

3635 Vista Ave
Saint Louis, MO 63110

Phone 314-577-8000

Mailing address

3450 Russell Blvd Apt 406
Saint Louis, MO 63104-1597

Phone 312-560-8373

Other practice locations

300 Longwood Ave
Boston, MA 02115-5724

Phone 617-355-6000

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