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Contact Information

ST.. LOUIS UNIVERSITY
1225 SOUTH GRAND, 2L, DOOR 5
SAINT LOUIS, MO63104
 Phone: 314-977-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

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

NPI Number 1780948018
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2012
Last updated 09/21/2021 - About 5 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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