IndividualActive
Martin Light
NPI 1568623544 · Contractor · Chesterfield, MO
Provider details
- NPI number
- 1568623544
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
330 Branchport Dr
Chesterfield, MO 63017-2902
Phone: (314) 469-3484
Fax: (314) 469-3484
Approximate (ZIP-level) locationGet directions
Mailing address
330 Branchport Dr
Chesterfield, MO 63017-2902
Registry dates
- Enumerated
- 2008-06-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.