Individual
DR. GRACE MARIE TABATABAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 454-6006
(314) 454-4102
Mailing address
1 CHILDRENS PL # 3S34, SAINT LOUIS, MO 63110-1002
(314) 454-6006
(314) 454-4102
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2024011976
MO
Other
Enumeration date
07/14/2019
Last updated
06/06/2024
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