Individual
DR. GRACE A MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-3530
(314) 977-1630
Mailing address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-3530
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
2013017017
MO
Other
Enumeration date
08/27/2007
Last updated
02/17/2021
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