WALLACE P BERKOWITZ MD LTD
Medical Practice in Saint Louis, MO

License number
Missouri R4234
Category
Medical Practice
Type
Otolaryngology
Owner
Name: WALLACE P BERKOWITZ MD
Title: PRESIDENT OWNER
Phone: (314) 647-8895
Address
Address
6651 Chippewa Ste 324 St, Saint Louis, MO 63109
National Provider ID: 1952387516
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WALLACE P. BERKOWITZ, M.D., LTD., PC

6651 Chippewa STE .324, Saint Louis, MO 63109

Status:
Inactive
Registration:
Apr 17, 1986
State ID:
W00288049
Business type:
Professional Corporation
Entity State:
IL
Expiration:
Perpetual
Agent:
(Secretary Of State),600 W Main St, Jefferson City, MO 65102 (Physical)

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