Individual
ERICA RENFREW HASTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12680 OLIVE BLVD BLDG STE 300, SAINT LOUIS, MO 63141-6289
(314) 251-8888
Mailing address
12680 OLIVE BLVD BLDG STE 300, SAINT LOUIS, MO 63141-6289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024022530
MO
Other
Enumeration date
04/04/2024
Last updated
06/15/2024
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