Individual
MRS. ELIZABETH MARSICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3635 VISTA AVE, DIVISION OF GASTROENTEROLOGY, DESLOGE TOWER 9TH FLOOR, SAINT LOUIS, MO 63110-2539
(314) 577-8764
Mailing address
17 HILLARD RD, SAINT LOUIS, MO 63122-3253
(305) 989-5043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
109857
FL
207RG0100X
Gastroenterology Physician
Primary
2015016906
MO
Other
Enumeration date
03/26/2008
Last updated
07/27/2015
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