Individual
EMILY CAUFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
604 PIERCE BLVD, O FALLON, IL 62269-2588
(618) 222-9244
Mailing address
604 PIERCE BLVD, O FALLON, IL 62269-2588
(618) 222-9244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019012551
MO
208000000X
Pediatrics Physician
209020428
IL
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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