Search › Missouri › 207Y00000X
Henry Ideker, MD
NPI 1063973972 · on the registry since 2019
Practice
- Address
- 1225 S Grand Blvd
Garden Level, Door 3
St Louis, MO 63104 - Phone
- (314) 577-8884
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Also registered as
- 207Y00000X
207YS0012X
390200000X - Licence states on file
- PA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri