Individual provider · NPI-1

Dr. Mark Aaron Friedman, M.D.

Internal Medicine, Cardiovascular Disease · Saint Louis, MO

NPI number1932311974
StatusActive
Last updated in NPPESNov 10, 2020

Details

NPI
1932311974
Entity type
Individual (NPI-1)
Name
Dr. Mark Aaron Friedman
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 3, 2007
Certification date
Nov 10, 2020
Last updated
Nov 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease2010007399MOYes
207RC0000X Internal Medicine, Cardiovascular Disease036125821IL
207R00000X Internal Medicine241994NY
207UN0901X Nuclear Medicine, Nuclear Cardiology2010007399MO

Practice location

1027 Bellevue Ave
Suite 200
Saint Louis, MO 63117-1851

Phone 314-645-6450 · Fax 314-645-2560

Mailing address

12855 N 40 Dr
Suite 300
Saint Louis, MO 63141-8657

Phone 314-880-6100 · Fax 314-997-3248

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