Individual
DR. ERIC SCOTT BAGGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1068 S WOODS MILL RD STE 220, TOWN AND COUNTRY, MO 63017-8333
(314) 394-1379
(314) 394-1377
Mailing address
1068 S WOODS MILL RD STE 220, TOWN AND COUNTRY, MO 63017-8333
(314) 394-1379
(314) 394-1377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004036761
MO
208M00000X
Hospitalist Physician
2004036761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209094606
—
MO
Enumeration date
07/25/2006
Last updated
09/24/2019
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