Individual
DR. JOHN K. MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11133 DUNN RD, STE 2427, SAINT LOUIS, MO 63136-6119
(314) 653-5643
(314) 653-5648
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 653-5643
(314) 653-5648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009013276
MO
208M00000X
Hospitalist Physician
Primary
2012020694
MO
Other
Enumeration date
06/25/2009
Last updated
07/10/2012
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