Individual
DR. MATIFADZA GAIL HLATSHWAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 S TAYLOR AVE, STE 100, SAINT LOUIS, MO 63110-1035
(314) 362-9098
(314) 362-9851
Mailing address
660 S EUCLID AVE, CB 8051, SAINT LOUIS, MO 63110-1010
(314) 362-9098
(314) 362-9851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019013172
MO
207RI0200X
Infectious Disease Physician
Primary
2019013172
MO
Other
Enumeration date
06/09/2011
Last updated
08/22/2019
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