Individual
MARK KRASNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 400, SAINT LOUIS, MO 63117-1854
(314) 925-4700
(314) 925-4750
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD114791
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209978915
—
MO
Enumeration date
07/17/2006
Last updated
10/23/2020
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