Individual provider · NPI-1

Alan Birtwistle, M.D.

Physical Medicine & Rehabilitation · Saint Louis, MO

NPI number1477517860
StatusActive
Last updated in NPPESMar 28, 2024

Details

NPI
1477517860
Entity type
Individual (NPI-1)
Name
Alan Birtwistle
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2006
Certification date
Mar 28, 2024
Last updated
Mar 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation2004001430MOYes

Other names

  • Alan Birtwistle (Professional Name)

Practice location

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181

Phone 314-652-4100 · Fax 314-845-5077

Mailing address

13253 Romany Way Ct
Saint Louis, MO 63131-1610

Phone 314-652-4100 · Fax 314-845-5077

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