Individual
EMILY A COBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4050 LINDELL BLVD, SAINT LOUIS, MO 63108-3297
(314) 396-9363
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006010965
MO
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
2006010965
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2006010965
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204022305
—
MO
01
—
211431
BLUE SHIELD
MO
01
—
758219
HEALTHLINK
MO
Enumeration date
09/01/2006
Last updated
01/28/2020
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