Individual
DR. DAVID ANDREW WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1465 S GRAND BLVD, ST. LOUIS, MO 63104-1003
(314) 577-1607
(314) 268-4112
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-1607
(314) 268-4112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009008973
MO
208M00000X
Hospitalist Physician
2009008973
MO
Other
Enumeration date
06/09/2007
Last updated
04/17/2019
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