Individual
DR. REBECCA JOY CHIBNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 MID AMERICA PLZ STE 2300, STE 2300, SAINT LOUIS, MO 63129-0002
(314) 942-6386
(314) 289-1908
Mailing address
660 S EUCLID AVE, C B 8123, SAINT LOUIS, MO 63110-1010
(314) 942-6386
(314) 286-1908
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2013023315
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
06/05/2012
Last updated
02/15/2018
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