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Individual

DR. LOUISE R FIRST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
77 WESTPORT PLAZA DRIVE, SUITE 205, ST. LOUIS, MO 63146
(314) 837-2120
(314) 838-8400
Mailing address
77 W PORT PLZ STE 205, SAINT LOUIS, MO 63146-3121
(314) 837-2120
(314) 838-8400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015538
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174619514
BILLING NPI PRIVATE PRACTICE
MO
Enumeration date
02/24/2009
Last updated
06/12/2019
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