Individual
MARY E HOHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-6828
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4180
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
117183
MO
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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