Individual
EMMA LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12700 SOUTHFORK RD STE 260, SAINT LOUIS, MO 63128-3288
(314) 543-5270
Mailing address
12700 SOUTHFORK RD STE 260, SAINT LOUIS, MO 63128-3288
(314) 543-5270
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2024021834
MO
Other
Enumeration date
06/27/2019
Last updated
08/16/2024
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