Individual
DR. DESHA C WEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(636) 386-7222
(636) 386-7810
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
(636) 386-7810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2005011145
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207275900
—
MO
Enumeration date
01/16/2006
Last updated
11/21/2024
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