Dr. Brock Davis Ridenour, MD
Dr. Brock Davis Ridenour, MD is a Plastic and Reconstructive Surgery Physician in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
12460 Olive Blvd Ste 202Saint Louis, MO 63141-6409
Phone: (314) 909-1202
Fax: (314) 909-1290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 101951 (MO) |
|---|
Record details
| NPI number | 1164536710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | August 19, 2006 |
| Last updated in NPPES | July 8, 2007 |
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