Individual
MRS. ALEXIS BOCKTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4066 PHILLIPS AVE, SAINT LOUIS, MO 63116-3629
(573) 619-8658
Mailing address
4066 PHILLIPS AVE, SAINT LOUIS, MO 63116-3629
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2021016492
MO
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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