Individual
DR. CARRIE ANN MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 S ELM AVE, SAINT LOUIS, MO 63119-3845
(314) 962-3464
Mailing address
520 S ELM AVE, SAINT LOUIS, MO 63119-3845
(314) 962-3464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006015672
MO
207L00000X
Anesthesiology Physician
Primary
2010006349
MO
Other
Enumeration date
06/27/2007
Last updated
09/06/2013
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