Individual
RENEE D EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 N MERAMEC AVE, SUITE 200, SAINT LOUIS, MO 63105-3745
(314) 726-1150
(314) 726-1152
Mailing address
211 N MERAMEC AVE, SUITE 200, SAINT LOUIS, MO 63105-3745
(314) 726-1150
(314) 726-1152
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
R3N58
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112611
BLUE CROSS/BLUE SHIELD
MO
05
—
20956805
—
MO
Enumeration date
04/06/2006
Last updated
01/28/2013
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