Individual
RAANA J PONSTINGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3635 VISTA AT GRAND BOULEVARD, SAINT LOUIS, MO 63110
(314) 268-7725
Mailing address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 821-5850
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
36343
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201840915
—
MO
01
—
P00298784
RAILROAD MEDICARE
MO
Enumeration date
06/20/2006
Last updated
03/02/2010
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