Individual
CATHERINE ELIZABETH ROANE-BLAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11125 DUNN RD STE 406, SAINT LOUIS, MO 63136
(314) 653-5484
(314) 653-5483
Mailing address
11125 DUNN RD STE 406, SAINT LOUIS, MO 63136-6132
(314) 653-5484
(314) 653-5483
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2018010680
MO
207VG0400X
Gynecology Physician
2018010680
MO
207VG0400X
Gynecology Physician
G5543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124746205
—
TX
Enumeration date
01/10/2007
Last updated
03/12/2021
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