Individual
DR. ANNAMARIE C DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 ROTH DR, SAINT LOUIS, MO 63131-3656
(314) 822-1005
Mailing address
2020 ROTH DR, SAINT LOUIS, MO 63131-3656
(314) 822-1005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2000160484
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205448608
—
MO
05
—
205448616
—
MO
Enumeration date
12/29/2005
Last updated
12/03/2010
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