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Organization

RAVI YADAVA, DO PC

Active
Other names
Performance Rehabiliation
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TONYA CABLE MORRISSEY (BUSINESS OFFICE MANAGER)
(314) 994-0796
Entity
Organization

Contact information

Practice address
675 OLD BALLAS RD, SUITE 210, SAINT LOUIS, MO 63141-7083
(314) 994-9355
(314) 994-0796
Mailing address
675 OLD BALLAS RD, SUITE 210, SAINT LOUIS, MO 63141-7083
(314) 994-9355
(314) 994-0796

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
144725
MO

Other

Enumeration date
05/01/2014
Last updated
05/01/2014
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