Iconic Services Inc
Sports Medicine (Family Medicine) Physician · Saint Louis, MO
Practice location
4625 Lindell Blvd Ste 200Saint Louis, MO 63108-3729
- Phone
- (314) 437-8932
- Fax
- (888) 749-2228
NPI record
- NPI
- 1750872354
- Entity type
- Organization (Type 2)
- Enumeration date
- May 21, 2018
- Last updated
- May 21, 2018
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X |
— | — |
Authorized official
- Name
- Christine B Cordero
- Title
- Manager
- Phone
- (314) 437-8932
About Iconic Services Inc
Iconic Services Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Sports Medicine (Family Medicine) Physician (code 207QS0010X). The practice location is 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108-3729. The NPI number 1750872354 was assigned on May 21, 2018 and the record was last updated on May 21, 2018.
The authorized official for this organization is Christine B Cordero, Manager.
Frequently asked questions
What is the NPI number of Iconic Services Inc?
The NPI number is 1750872354.
What is the phone number of Iconic Services Inc?
The phone number listed for the practice location is (314) 437-8932.
Where is Iconic Services Inc located?
4625 Lindell Blvd Ste 200, Saint Louis, MO 63108-3729.
What is the taxonomy code for Iconic Services Inc?
The primary taxonomy code is 207QS0010X – Sports Medicine (Family Medicine) Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Sports Medicine (Family Medicine) Physician providers in Saint Louis
- Christian Verry, MD12680 Olive Blvd Ste 300
- David L. Lee, MD1034 S Brentwood Blvd Ste 1120
- Tyler James Gouge, MD701 S New Ballas Rd Ste 510
- Missouri Baptist University1 College Park Dr
- Kirkwood Diagnostic & Orthopedic Associates, LLC.333 S Kirkwood Rd
- Ha Minh Hoang, D.O.3635 Vista Ave
- William A. Mitchell III, M.D.1225 S Grand Blvd
- Steven Stahle, M.D.333 S Kirkwood Rd Ste 200
- Hunter Jordan Fleming, MD12700 Southfork Rd Ste 100
- St. Anthony's Physician Organization2900 Lemay Ferry Rd
- Larkin Tyler Wadsworth III, MD8225 Clayton Rd
- Ben Heimos1 S Compton Ave
All Sports Medicine (Family Medicine) Physician providers in Saint Louis, MO →