Individual
MR. JOSEPH W. DOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
615 S NEW BALLAS RD, DEPT. OF ANESTHESIA, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 200-4243
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 200-4243
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2015033419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
05/22/2015
Last updated
09/28/2015
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