Individual
DR. FAYE E DOERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6090
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5C47
MO
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
036.135847
IL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
R5C47
MO
Other
Enumeration date
06/01/2006
Last updated
10/28/2024
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