Individual
DR. JAMES W DIMITROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 JUNGERMANN CIR STE 201, SAINT PETERS, MO 63376-1619
(636) 916-9615
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 916-9615
(636) 916-9850
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
105556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206981201
—
MO
Enumeration date
10/12/2006
Last updated
09/17/2025
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