Individual
DR. ROBERTO CIVITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 BARNES WEST DR, DIV IM BONE AND MINERAL, STE 200, SAINT LOUIS, MO 63141-6287
(314) 454-7775
(314) 996-3087
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-7775
(314) 996-3087
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36936
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202631826
—
MO
Enumeration date
07/18/2006
Last updated
04/17/2025
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