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Henry Charles Ideker
Student in an Organized Health Care Education/Training Program in St Louis, Missouri
NPI 1063973972

Henry Charles Ideker is a Student in an Organized Health Care Education/Training Program based in St Louis, MO. Henry Charles Ideker practices in St Louis, MO. The NPI Number for Henry Charles Ideker is 1063973972 and holds a License No. (Missouri).

The current practice location address for Henry Charles Ideker is 3635 Vista Ave, 6Fdt, St Louis, MO and can be reached out via phone at 314-577-8884.

Location: 3635 Vista Ave, 6Fdt, St Louis, MO, 63110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063973972
Provider Name
Henry Charles Ideker
Credential
Provider Entity Type
Individual
Gender
Male
Address
3635 Vista Ave, 6Fdt, St Louis, MO, 63110
Phone Number
314-577-8884
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3635 Vista Ave, 6Fdt
City
St Louis
State
Missouri
Zip
63110
Phone Number
314-577-8884
Fax Number
person
Provider Business Mailing Address Details
Address
3635 Vista Ave, 6Fdt
City
St Louis
State
Missouri
Zip
63110
Phone Number
314-577-8884
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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