Individual
DR. HEATHER HILLIS DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110-1003
(314) 362-9123
(314) 362-0478
Mailing address
660 S EUCLID AVE, CB 8072, SAINT LOUIS, MO 63110-1010
(314) 362-9123
(314) 362-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019016331
MO
208D00000X
General Practice Physician
2019016331
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062847
—
MO
Enumeration date
06/20/2015
Last updated
12/20/2021
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