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Individual

DR. PAUL N SELVADURAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6651 CHIPPEWA ST, STE 214, ST LOUIS, MO 63109-2538
(314) 647-5300
(314) 647-1996
Mailing address
6651 CHIPPEWA ST, STE 214, SAINT LOUIS, MO 63109-2538
(314) 647-5300
(314) 647-1996

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
R6369
MO

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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