Individual
MS. BESSEVELYN M. TABLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 GRAHAM RD STE C-1340, FLORISSANT, MO 63031-8019
(314) 953-6801
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 456-7168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008016715
MO
Other
Enumeration date
07/09/2008
Last updated
02/28/2021
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