Individual
DEBORAH J GARBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CS, ANP
Contact information
Practice address
6400 CLAYTON RD, SUITE 212, SAINT LOUIS, MO 63117-1850
(314) 645-6450
(314) 645-2560
Mailing address
12855 N 40 DR, SUITE 300, SAINT LOUIS, MO 63141-8657
(314) 880-6162
(314) 997-3248
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
069313
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425108305
—
MO
Enumeration date
07/21/2005
Last updated
06/26/2012
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