IndividualActive
Matthew Mutch, MD
NPI 1669498887 · Colon & Rectal Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1669498887
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 106142 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1044 N Mason Rd
Div Surg Colon/Rectal, Ste 310
Saint Louis, MO 63141-6431
Phone: (314) 454-7177
Fax: (888) 425-7946
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.