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Individual

GLORIA OWEN MERENDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8202
(314) 768-7145
Mailing address
PO BOX 795083, SAINT LOUIS, MO 63179-0795
(314) 821-8055
(314) 821-1833

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R4D62
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042938
HEALTH ALLIANCE
MO
01
102058
HEALTHLINK
MO
01
1101345
UNITED HEALTH CARE
MO
05
209982107
MO
01
220024456
TRAVELERS
MO
01
29381
GROUP HEALTH PLAN/ADVANTR
01
33114
BLUE CROSS BLUE SHIELD
MO
01
E39557
MERCY
MO
Enumeration date
11/22/2005
Last updated
10/05/2011
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