Individual provider · NPI-1
Steven Mark Abbadessa, D.O.
Colon & Rectal Surgery · Saint Louis, MO
NPI number1881668564
StatusActive
Last updated in NPPESJun 21, 2019
Details
- NPI
- 1881668564
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Mark Abbadessa
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2006
- Last updated
- Jun 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | R5J14 | MO | Yes |
Practice location
456 N New Ballas Rd Ste 154Saint Louis, MO 63141-6827
Phone 314-966-7570 · Fax 314-966-7788
Mailing address
456 N New Ballas Rd Ste 154Saint Louis, MO 63141-6827
Phone 314-966-7570 · Fax 314-966-7788
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