Individual
DR. MONETTE CASTILLO COLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, DEPT OF RADIOLOGY, SAINT LOUIS, MO 63141-8221
(314) 251-6031
(314) 251-6343
Mailing address
11475 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7128
(314) 991-8210
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036120846
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2011009907
MO
2085R0202X
Diagnostic Radiology Physician
4301096867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497917272
—
MO
Enumeration date
07/02/2008
Last updated
01/28/2016
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