Individual
ISAAC IGNATIUS PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
Mailing address
4431 CHOUTEAU AVE APT 1203, SAINT LOUIS, MO 63110-1607
(630) 209-1324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036164016
IL
Other
Enumeration date
03/30/2020
Last updated
11/07/2024
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