Most Relevant Information
Provider Data
| NPI Number: | 1003550773 |
| Provider Name: | JOHN JOSEPH HOUSER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
1201 S GRAND BLVD
SAINT LOUIS
MO
631041016
Practice Location Phone/Fax
| Phone: | 3142578000 |
| Fax: |
Provider Mailing Location
709 E JACKSON RD
SAINT LOUIS
MO
631194241
Provider Mailing Phone/Fax
| Phone: | 6364484163 |
| Fax: |