Provider Demographics
NPI:1528829330
Name:CHESTERFIELD PLASTIC SURGERY, LLC
Entity type:Organization
Organization Name:CHESTERFIELD PLASTIC SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-496-6477
Mailing Address - Street 1:111 SAINT LUKES CENTER DR STE 46
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3509
Mailing Address - Country:US
Mailing Address - Phone:314-205-6420
Mailing Address - Fax:314-590-5950
Practice Address - Street 1:111 SAINT LUKES CENTER DR STE 46
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3509
Practice Address - Country:US
Practice Address - Phone:314-205-6420
Practice Address - Fax:314-590-5950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty