Ira Joe Kodner, MD

Colon & Rectal Surgery Physician · Saint Louis, MO

Individual Active NPI

NPI number 1760408983

Practice location

1040 N Mason Rd
Ste 120
Saint Louis, MO 63141-6399
Phone
(314) 454-7177
Fax
(314) 454-5249

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NPI record

NPI
1760408983
Entity type
Individual (Type 1)
Enumeration date
July 14, 2006
Last updated
October 22, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Colon & Rectal Surgery Physician Primary 208C00000X 31243 MO

Mailing address

660 S Euclid Ave
C B 8109
Saint Louis, MO 63110-1010
Phone
(314) 454-7177
Fax
(314) 747-4871

About Dr. Kodner

Ira Joe Kodner, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Colon & Rectal Surgery Physician (code 208C00000X). The practice location is 1040 N Mason Rd, Ste 120, Saint Louis, MO 63141-6399. The NPI number 1760408983 was assigned on July 14, 2006 and the record was last updated on October 22, 2015.

Dr. Kodner lists a license in the registry: #31243 (MO) for Colon & Rectal Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ira Joe Kodner, MD?

The NPI number is 1760408983.

What is the phone number of Dr. Kodner?

The phone number listed for the practice location is (314) 454-7177.

Where is Dr. Kodner located?

1040 N Mason Rd, Ste 120, Saint Louis, MO 63141-6399.

What is the taxonomy code for Dr. Kodner?

The primary taxonomy code is 208C00000X – Colon & Rectal Surgery 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.

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