Individual
DR. ABRAHAM BLAIN MEDARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 KENNERLY RD, STE 364B, SAINT LOUIS, MO 63128-2141
(314) 525-4429
(314) 525-7260
Mailing address
10004 KENNERLY RD, STE 364B, SAINT LOUIS, MO 63128-2141
(314) 525-4429
(314) 525-7260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014008997
MO
2084P0800X
Psychiatry Physician
6369
NE
Other
Enumeration date
07/14/2010
Last updated
03/14/2017
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