Individual
MS. VIJAYALAKSHMI VALLURUPALLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7049
(314) 344-7073
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7049
(314) 344-7073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MDR6A20
MO
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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