Individual
DAVID A ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 110, RICHMOND HEIGHTS, MO 63117-1847
(314) 647-0180
(314) 647-1023
Mailing address
1035 BELLEVUE AVE, SUITE 110, RICHMOND HEIGHTS, MO 63117-1847
(314) 647-0180
(314) 647-1023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MOMDR1G01
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202584819
—
MO
Enumeration date
12/19/2005
Last updated
02/01/2018
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