Provider Demographics
NPI:1881700607
Name:GREENBERG, DAVID D (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3635 VISTA AVE, ST. LOUIS UNIVERSITY
Mailing Address - Street 2:7TH FLOOR DESLOGE TOWERS, DEPT OF ORTHOPAEDIC SURGERY
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-577-8850
Mailing Address - Fax:314-268-5121
Practice Address - Street 1:3635 VISTA AVE, ST. LOUIS UNIVERSITY
Practice Address - Street 2:7TH FLOOR DESLOGE TOWERS, DEPT OF ORTHOPAEDIC SURGERY
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-577-8850
Practice Address - Fax:314-268-5121
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2021-01-12
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Provider Licenses
StateLicense IDTaxonomies
MO2004024405207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO152360004Medicare PIN