Individual
DR. EDWARD BERNARD BAIETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15119 CHAMISAL DR, CHESTERFIELD, MO 63017-7723
(636) 532-4112
(636) 532-4136
Mailing address
15119 CHAMISAL DR, CHESTERFIELD, MO 63017-7723
(636) 532-4112
(636) 532-4136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3240
MO
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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