Provider Demographics
NPI:1457374241
Name:SAGER, DAVID KIM (CPO)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:KIM
Last Name:SAGER
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JEFFERSON BARRACKS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-4108
Mailing Address - Country:US
Mailing Address - Phone:314-894-6645
Mailing Address - Fax:314-894-6555
Practice Address - Street 1:1 JEFFERSON BARRACKS DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-4108
Practice Address - Country:US
Practice Address - Phone:314-894-6645
Practice Address - Fax:314-894-6555
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist