Individual
DR. MARK UDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL STE 5A, STE 5A, SAINT LOUIS, MO 63110-1032
(314) 362-2643
(314) 747-8693
Mailing address
660 S EUCLID AVE, C B 8123, SAINT LOUIS, MO 63110-1010
(314) 362-2643
(314) 747-8693
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R2F14
MO
Other
Enumeration date
03/09/2007
Last updated
01/29/2018
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