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

St Louis Cosmetic Surgery

Organization Plastic and Reconstructive Surgery Physician · NPI 1205023405

St Louis Cosmetic Surgery is a Plastic and Reconstructive Surgery Physician in Chesterfield, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

17300 N Outer 40 Rd Ste 300
Chesterfield, MO 63005
Phone: (636) 530-6161
Fax: (636) 777-7500
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 13172549 (MO)

Record details

NPI number1205023405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Burton — Practice Manager · (636) 530-6161
NPI enumeratedOctober 2, 2007
Last updated in NPPESOctober 2, 2007
Mailing address17300 N Outer 40 Rd, Suite 300, Chesterfield, MO 63005