Individual
SARAH LUDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1345 SMIZER MILL RD STE 1100, FENTON, MO 63026-7305
(636) 496-5022
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015025846
MO
207Q00000X
Family Medicine Physician
6830
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6830
TEP
NE
Enumeration date
07/11/2012
Last updated
11/19/2020
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