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Individual

DR. NEIL F REBBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
9553 LACKLAND RD, STE 1, SAINT LOUIS, MO 63114-3640
(314) 429-7733
(314) 429-3194
Mailing address
12255 DEPAUL DRIVE, SUITE 300, BRIDGETON, MO 63044
(314) 344-6021
(314) 344-6131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
110460
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205278419
MO
01
270012989
TAX ID ARS PEDIATRICS LLC
MO
01
416385
HEALTHLINK
MO
Enumeration date
11/22/2005
Last updated
11/12/2020
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