Individual
ALEXIS MAE BAYUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 PARNASSUS AVE RM S-357, SAN FRANCISCO, CA 94143-2205
(415) 347-6314
Mailing address
660 SOUTH EUCLID AVENUE, DEPARTMENT OF MEDICINE, BOX 8121, SAINT LOUIS, MO 63110
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017019563
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017019563
MISSOURI BOARD OF REGISTRATION FOR THE HEALING ARTS
MO
Enumeration date
06/22/2017
Last updated
05/31/2020
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