Individual
ASHLY WATTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12680 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6322
(314) 251-8888
(314) 251-8889
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024023916
MO
Other
Enumeration date
04/05/2024
Last updated
06/25/2024
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