Individual
LAURA MARIE VIERO-DOTHAGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12303 DEPAUL DR, DEPAUL HEALTH CENTER, BRIDGETON, MO 63044
(314) 344-6000
(630) 734-1560
Mailing address
PO BOX 4853, DEPT 4036, OAK BROOK, IL 60522-4853
(630) 734-0200
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004001493
MO
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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