Individual
DR. DESPINA MAVRIDOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6930
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2006012191
MO
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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