Individual
DR. SUSAN M DOBMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N BALLAS RD, SUITE 102B, SAINT LOUIS, MO 63131-2322
(314) 725-2010
(314) 725-0709
Mailing address
3009 N BALLAS RD, SUITE 102B, SAINT LOUIS, MO 63131-2322
(314) 725-2010
(314) 725-0709
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R1J07
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130011147
RAILROAD MEDICARE
MO
05
—
202569612
—
MO
Enumeration date
07/17/2006
Last updated
06/28/2010
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