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Individual

DR. EILEEN MARIE HARRAHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12700 SOUTHFORK RD, SUITE 290, SAINT LOUIS, MO 63128-3201
(314) 525-4971
(314) 525-4972
Mailing address
12700 SOUTHFORK RD, SUITE 290, SAINT LOUIS, MO 63128-3201
(314) 525-4971
(314) 525-4972

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3L45
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208280909
MO
Enumeration date
07/21/2005
Last updated
06/16/2011
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