Individual
ATOUSA CHOOPANI DASTGERDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 833-2700
Mailing address
2152A GEYER AVE, SAINT LOUIS, MO 63104-2670
(872) 228-6672
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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