Individual
DR. BERTHA A MERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 S WOODS MILL RD, SUITE 620 NORTH, CHESTERFIELD, MO 63017-3662
(314) 523-2597
(314) 590-5948
Mailing address
222 S WOODS MILL RD, STE 620 NORTH, CHESTERFIELD, MO 63017-3625
(314) 523-2597
(314) 590-5948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
107581
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00357508
RR MEDICARE
—
Enumeration date
05/20/2006
Last updated
03/05/2014
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