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Contact Information

ST LOUIS UNIVERSITY
1402 SOUTH GRAND
SAINT LOUIS, MO63104
 Phone: 314-577-8475
 Fax: 314-268-5478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ST LOUIS UNIVERSITY · (Female)

NPI Number 1780657023
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2006
Last updated 09/21/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 554850230
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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