Individual
DR. PAUL BARTO VATTEROTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 BREVCO PLZ, LAKE ST LOUIS, MO 63367-1399
(636) 561-8100
(636) 561-3396
Mailing address
107 BREVCO PLZ, LAKE ST LOUIS, MO 63367-1399
(636) 561-8100
(636) 561-3396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD R6313
MO
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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