Individual
NANCY P BIERMAN BIRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12700 SOUTHFORK RD, STE 215, SAINT LOUIS, MO 63128-3201
(314) 543-5244
(314) 543-5248
Mailing address
12700 SOUTHFORK RD, STE 215, SAINT LOUIS, MO 63128-3201
(314) 543-5244
(314) 543-5248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015029686
MO
208000000X
Pediatrics Physician
036-100129
IL
208000000X
Pediatrics Physician
Primary
2015029686
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100129
—
IL
01
—
156440098
MO PTAN
MO
Enumeration date
06/10/2005
Last updated
03/14/2017
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