Individual
THERESA THARAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 SOUTH EUCLID AVE, OTOLARYNGOLOGY HEAD AND NECK SURGERY, ST LOUIS, MO 63110
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2019020210
MO
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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