Individual
MS. MEGHAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 617-2000
Mailing address
6420 CLAYTON RD RM 2233, SAINT LOUIS, MO 63117-1811
(314) 951-7240
(314) 951-7241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023035476
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
2023035476
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
08/06/2025
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