Individual
MRS. SUSAN J IFFRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1901 TRADE CENTER DR, SAINT PETERS, MO 63376-1262
(636) 978-1610
(636) 978-1926
Mailing address
102 FAWN LAKE CT, SAINT PETERS, MO 63376-5943
(636) 219-3067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102332
MO
Other
Enumeration date
07/21/2005
Last updated
01/28/2021
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