Individual
DR. KRISTEN MARGUERITE DAVIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MSC
Contact information
Practice address
660 S EUCLID AVE, CAMPUS BOX 8238, SAINT LOUIS, MO 63110-1010
(314) 779-8684
Mailing address
4535 FOREST PARK AVE, SUITE 316, SAINT LOUIS, MO 63108-2128
(314) 779-8684
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2012016532
MO
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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