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Individual

DOUGLAS DRIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1011 BOWLES AVENUE, SUITE 300, FENTON, MO 63026-2387
(636) 496-5000
(636) 496-5045
Mailing address
10777 SUNSET OFFICE DR, SUITE 310, SAINT LOUIS, MO 63127-1019
(314) 822-5900
(314) 822-5919

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD107128
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208043620
MO
Enumeration date
07/09/2006
Last updated
04/16/2009
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