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Contact Information

INFECTIOUS DISEASE, PC
10004 KENNERLY RD
SUITE 368B
SAINT LOUIS, MO63128-2141
 Phone: 314-729-1570
 Fax: 314-729-1575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for INFECTIOUS DISEASE PC · (Female)

NPI # 1609065051
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2007
Last updated 02/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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