Individual
DR. JIAFU OU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7029
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7029
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036167187
IL
207RC0000X
Cardiovascular Disease Physician
2008026700
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209595008
—
MO
05
—
ENROLLED
—
IL
Enumeration date
05/22/2007
Last updated
05/07/2024
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