Individual
DR. JUEE PHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 898-1700
(314) 814-8542
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 898-1700
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2011015948
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015031295
LICENSE
MO
Enumeration date
07/29/2011
Last updated
03/14/2017
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