Individual
NATALYA RUKHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 460A, SAINT LOUIS, MO 63141-8232
(314) 251-4330
(314) 251-4333
Mailing address
621 S NEW BALLAS RD, SUITE 460A, SAINT LOUIS, MO 63141-8232
(314) 251-4330
(314) 251-4333
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2011002817
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011002817
MO LICENSE
MO
Enumeration date
06/11/2007
Last updated
09/04/2013
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