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Individual

ZAMIR EIDELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3009 N BALLAS RD, STE 387C, SAINT LOUIS, MO 63131-2322
(314) 996-5900
(314) 996-5910
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-5900
(314) 996-5910

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103582
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103582
MEDICAL LICENSE
MO
01
20832
BNDD
MO
05
208533034
MO
01
BE4913249
BNDD
MO
Enumeration date
10/17/2006
Last updated
03/12/2021
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