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Individual

DR. ERIN ELIZABETH ELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1300 CLARK AVE, SAINT LOUIS, MO 63103-2718
(314) 622-4971
(314) 977-7615
Mailing address
1300 CLARK AVE, SAINT LOUIS, MO 63103-2718
(314) 622-4971
(314) 977-7615

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2016011683
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/22/2010
Last updated
02/18/2021
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