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Individual

DR. DEPORRES CORMIER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 CHILDRENS PL, 3S34, SAINT LOUIS, MO 63110-1002
(314) 454-6006
(314) 454-4102
Mailing address
1 CHILDRENS PL, 3S34, SAINT LOUIS, MO 63110-1002
(314) 454-6006
(314) 454-4102

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012017402
MO

Other

Enumeration date
07/06/2012
Last updated
07/06/2012
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