Individual
SARAH EMILY WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1598 W MEYER RD, WENTZVILLE, MO 63385-3653
(636) 332-8228
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020003742
MO
207Q00000X
Family Medicine Physician
281240
NY
207R00000X
Internal Medicine Physician
281240
NY
Other
Enumeration date
05/29/2012
Last updated
10/28/2020
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