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Individual

DR. GETINET DEGU AYALEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12277 DE PAUL DR STE 100, BRIDGETON, MO 63044-2577
(314) 209-5142
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2014020146
MO
207RH0003X
Hematology & Oncology Physician
54033
MN

Other

Enumeration date
10/01/2007
Last updated
11/02/2020
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