Individual
MILDRED DEMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8442
Mailing address
2 WISTAR WAY, O FALLON, MO 63366-8464
(636) 696-2363
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
050827
MO
Other
Enumeration date
02/22/2006
Last updated
11/21/2007
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