Individual
YI PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-6082
(314) 977-1783
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 562-4100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
103978
MO
2084N0600X
Clinical Neurophysiology Physician
103978
MO
Other
Enumeration date
07/17/2006
Last updated
04/08/2024
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