Aesthetic Medical Associates, LLC

Organization Active NPI Family Medicine Physician · Saint Louis, MO

NPI 1205977857 · NPPES record last updated Apr 2, 2008

Key facts

NPI
1205977857
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AESTHETIC MEDICAL ASSOCIATES, LLC
Practice address
3920 Lindell Blvd
Ste 105
Saint Louis, MO 63108-3254
Phone
(314) 652-8923
Fax
(314) 652-8925
NPI assigned
Feb 8, 2007
Organization subpart
No

Authorized official

Name
Melissa L Hollie, MD
Title
President
Phone
(314) 652-8923

National Provider Directory

Locations

3482 Reliable Pkwy
Chicago, IL 60686

3920 Lindell Blvd
Ste 105
Saint Louis, MO 63108
Phone (314) 652-8923

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

3920 Lindell Blvd
Ste 105
Saint Louis, MO 63108-3254

Mailing address

3920 Lindell Blvd
Ste 105
Saint Louis, MO 63108-3254
Phone (314) 652-8923

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.