IndividualActive
Justin Tilan, MD
NPI 1790195824 · Orthopaedic Trauma Physician · Saint Louis, MO
Provider details
- NPI number
- 1790195824
- Entity type
- Individual
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2017010648 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4921 Parkview Pl
Ste 6a/6b/12a
Saint Louis, MO 63110-1032
Phone: (314) 747-2500
Fax: (314) 747-2598
Approximate (ZIP-level) locationGet directions
Mailing address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.