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Individual

DIANE HOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
121 SAINT LUKES CENTER DR, STE 504, CHESTERFIELD, MO 63017-3509
(314) 205-6399
(314) 523-2798
Mailing address
121 SAINT LUKES CENTER DR STE 302, CHESTERFIELD, MO 63017-3519
(314) 205-6399
(314) 523-2798

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006018904
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194744938
RR MEDICARE
MO
01
1316189194
RR MEDICARE
MO
01
DP1482
RR MEDICARE
MO
01
I58334
UPIN
01
P00735846
RR MEDICARE
MO
Enumeration date
07/19/2006
Last updated
02/24/2022
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