Most Relevant Information
Provider Data
| NPI Number: | 1003502527 |
| Provider Name: | CONNOR ROBERT REIS DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2023 |
| Last Updated: | 06/29/2023 |
Provider Practice Location
615 S NEW BALLAS RD
SAINT LOUIS
MO
631418221
Practice Location Phone/Fax
| Phone: | 3142516930 |
| Fax: |
Provider Mailing Location
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS
MO
631418267
Provider Mailing Phone/Fax
| Phone: | 3145095305 |
| Fax: | 3142514454 |