Individual
KATHARINE PONZILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 305-1447
Mailing address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 305-1447
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
102328
MO
Other
Enumeration date
05/20/2006
Last updated
05/16/2023
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