Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Iconic Services Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1750872354

Iconic Services Inc provides Sports Medicine (Family Medicine) Physician services in Saint Louis, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4625 Lindell Blvd Ste 200
Saint Louis, MO 63108-3729
Phone: (314) 437-8932
Fax: (888) 749-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1750872354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Cordero — Manager · (314) 437-8932
NPI enumeratedMay 21, 2018
Last updated in NPPESMay 21, 2018
Mailing address4625 Lindell Blvd Ste 200, Saint Louis, MO 63108-3729

Other providers in Saint Louis