Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Parkcrest Plastic Surgery

Organization Specialist · NPI 1396849451

Parkcrest Plastic Surgery is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

845 N New Ballas Rd Ste 300
Saint Louis, MO 63141-7083
Phone: (314) 569-0130
Fax: (314) 569-4072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (MO)

Record details

NPI number1396849451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Nathan — Plastic Surgeon · (314) 569-1030
NPI enumeratedSeptember 11, 2006
Last updated in NPPESFebruary 29, 2008
Mailing address845 North New Ballas Road, Suite 300, Saint Louis, MO 63141-7083

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