Individual
DR. NASTASSIA C BOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8860 LADUE RD STE 100, SAINT LOUIS, MO 63124-2068
(314) 863-2444
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016010210
MO
208000000X
Pediatrics Physician
5101020578
MI
Other
Enumeration date
06/23/2013
Last updated
09/27/2023
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