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

Specialist in Gastroenterology

Organization Gastroenterology Physician · NPI 1669523270

Specialist in Gastroenterology is a Gastroenterology Physician in Creve Coeur, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

11525 Olde Cabin Rd
Creve Coeur, MO 63141-7146
Phone: (314) 997-0554
Fax: (314) 997-5086
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence R4F99 (MO)

Record details

NPI number1669523270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Willis — Office Administrator · (314) 997-0554
NPI enumeratedJanuary 12, 2007
Last updated in NPPESApril 25, 2008
Mailing address11525 Olde Cabin Rd, Creve Coeur, MO 63141-7146

Other providers in Creve Coeur