Individual
DR. NICOLETTE CAROLINE VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110-1002
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
2025036377
MO
Other
Enumeration date
03/27/2020
Last updated
09/30/2025
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