Individual
DR. MARDONIO JESUS YAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 GRECIAN WAY CT, SAINT LOUIS, MO 63131-1607
(314) 965-3915
Mailing address
2010 GRECIAN WAY CT, SAINT LOUIS, MO 63131-1607
(314) 965-3915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30508
MO
208600000X
Surgery Physician
Primary
30508
MO
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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