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Contact Information

LJ PUNCH, MD
5501 DELMAR BLVD STE A430
SAINT LOUIS, MO63112-3079
 Phone: 314-624-0398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LJ PUNCH · (Male)

NPI Number 1013042100
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2007
Last updated 08/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2015043978
  • MO License # 2015049378
  • MO Medicaid 200027894
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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