Individual
AGUSTA OLAFSDOTTIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD STE 3016B, MERCY CLINIC ADULT HOSPITALIST, SAINT LOUIS, MO 63141-8267
(314) 251-6339
(314) 251-4564
Mailing address
621 S NEW BALLAS RD STE 3016B, MERCY CLINIC ADULT HOSPITALIST, SAINT LOUIS, MO 63141-8267
(314) 251-6339
(314) 251-4564
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36729
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0731307
—
IA
01
—
27800
WELLMARK BCBS
IA
Enumeration date
08/17/2006
Last updated
10/06/2011
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