Saint Louis Allergy And Asthma | |
6555 Chippewa St Ste 100 Saint Louis MO 63109-4110 | |
(314) 833-4905 | |
(888) 316-7781 |
Full Name | Saint Louis Allergy And Asthma |
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Speciality | Clinic/Center |
Location | 6555 Chippewa St Ste 100, Saint Louis, Missouri |
Authorized Official Name and Position | Ashley Emmert (ALLERGIST) |
Authorized Official Contact | 3148334905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saint Louis Allergy And Asthma 6555 Chippewa St Ste 100 Saint Louis MO 63109-4110 Ph: (314) 833-4905 | Saint Louis Allergy And Asthma 6555 Chippewa St Ste 100 Saint Louis MO 63109-4110 Ph: (314) 833-4905 |
NPI Number | 1740722230 |
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Provider Enumeration Date | 11/15/2016 |
Last Update Date | 07/15/2024 |
Medicare PECOS PAC ID | 8527400845 |
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Medicare Enrollment ID | O20240531000807 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740722230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Missouri) | Primary |
Provider Name | Ashley S Emmert |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1699948745 PECOS PAC ID: 3678745395 Enrollment ID: I20110930000364 |
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