Individual
MAUREEN B. RIFFLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3023 N BALLAS RD, SUITE 520 D, SAINT LOUIS, MO 63131-2330
(314) 569-2620
(314) 996-6902
Mailing address
200 BREVCO PLZ, SUITE 208, LAKE SAINT LOUIS, MO 63367-2949
(636) 561-6603
(636) 561-6208
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R5D44
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203714506
—
MO
Enumeration date
06/22/2010
Last updated
06/22/2010
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