NPI Index

DR. TERENCE MYCKATYN, MD

Surgery - Plastic and Reconstructive Surgery

Active Individual
NPI: 1598781718

Practice Address

1020 N MASON RD
DIV SURG PLASTICS, MOB 3 STE 110
Saint Louis, MO 63141

Phone: (314) 362-7388

Specialties

Specialty Code Primary License
Plastic Surgery - Plastic Surgery Within the Head and Neck 2082S0099X No 2000173749 (MO)
Surgery - Surgery of the Hand 2086S0105X No 2000173749 (MO)
Surgery - Plastic and Reconstructive Surgery 2086S0122X Yes 2000173749 (MO)

Frequently Asked Questions

NPI 1598781718 is the National Provider Identifier for DR. TERENCE MYCKATYN, MD, a Surgery - Plastic and Reconstructive Surgery provider located in Saint Louis, MO. This NPI was enumerated on July 14, 2006.
DR. TERENCE MYCKATYN, MD practices at 1020 N MASON RD, DIV SURG PLASTICS, MOB 3 STE 110, Saint Louis, MO 63141.

Quick Facts

NPI
1598781718
Type
Individual
Enumerated
Jul 14, 2006
Last Updated
Apr 17, 2025

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