Individual
RUPAL TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3660 VISTA AVE, SUITE 103, SAINT LOUIS, MO 63110-2540
(314) 977-4700
(314) 977-4703
Mailing address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 977-4700
(314) 977-4703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011019884
MO
Other
Enumeration date
06/06/2007
Last updated
08/12/2014
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