DR. BROCK RIDENOUR, MD

Surgery - Plastic and Reconstructive Surgery

Active Individual
NPI: 1164536710

Practice Address

12460 OLIVE BLVD
SUITE 202
Saint Louis, MO 63141

Phone: (314) 909-1202

Specialties

Specialty Code Primary License
Surgery - Plastic and Reconstructive Surgery 2086S0122X Yes 101951 (MO)

Frequently Asked Questions

NPI 1164536710 is the National Provider Identifier for DR. BROCK RIDENOUR, MD, a Surgery - Plastic and Reconstructive Surgery provider located in Saint Louis, MO. This NPI was enumerated on August 19, 2006.
DR. BROCK RIDENOUR, MD practices at 12460 OLIVE BLVD, SUITE 202, Saint Louis, MO 63141.

Quick Facts

NPI
1164536710
Type
Individual
Enumerated
Aug 19, 2006
Last Updated
Jul 8, 2007

Nearby Providers