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Individual

DR. EMIL A DIFILIPPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9323 PHOENIX VILLAGE PKWY, O FALLON, MO 63366-4281
(636) 561-5030
(636) 561-5033
Mailing address
12639 OLD TESSON RD, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30530
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119066
HEALTHLINK
01
21646
BLUE CROSS BLUE SHIELD
MO
01
4061313
AETNA
01
4432V6097
HEALTHCARE USA
01
45619
CMR
01
6034V3458
GHP/ADVANTRA
01
900093
UHC
01
9042
EXCLUSIVE CHOICE
01
SP10135
CIGNA
Enumeration date
05/23/2005
Last updated
05/06/2015
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