Individual
DR. JOSIE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9701 LANDMARK PARKWAY DR, SUITE 207, SAINT LOUIS, MO 63127-1665
(314) 849-8700
(314) 849-8737
Mailing address
9701 LANDMARK PARKWAY DR, SUITE 207, SAINT LOUIS, MO 63127-1665
(314) 849-8700
(314) 849-8737
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
2012013478
MO
208000000X
Pediatrics Physician
2009014225
MO
Other
Enumeration date
07/09/2009
Last updated
07/22/2016
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