Individual
DR. DANIEL VANVALKINBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3691 RUTGER ST., EMERGENCY MEDICINE DIVISION, ST. LOUIS, MO 63104
(314) 977-1916
(314) 977-1628
Mailing address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-1916
(314) 977-1628
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2019039164
MO
207P00000X
Emergency Medicine Physician
Primary
2019039164
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2019039164
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
07/27/2021
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