Individual
GRACIA ROSARIO MONCADA ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8778
(314) 768-7101
Mailing address
17 BLACK OAK DR, SAINT LOUIS, MO 63127-1302
(314) 208-5488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021020993
MO
208M00000X
Hospitalist Physician
Primary
2024032087
MO
Other
Enumeration date
07/30/2021
Last updated
12/17/2024
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