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Individual

DR. PATRICIA L COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
450 N NEW BALLAS RD, STE 270 W, SAINT LOUIS, MO 63141-6835
(314) 991-6969
(314) 997-6969
Mailing address
450 N NEW BALLAS RD, STE 270 W, SAINT LOUIS, MO 63141-6835
(314) 991-6969
(314) 997-6969

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R1G19
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000047049
MCARE CCL GROUP NUMBER
MO
01
001013185
MEDICARE PROV ID AREA 99
MO
01
005012762
MEDICARE PROVIDER ID
MO
01
060042547
RR MEDICARE NUMBER
MO
01
1124011010
HHC CATH GROUP NPI
01
1801889795
STL GROUP NP
01
CD6536
RR GROUP 01
MO
01
MA1080
CCL MEDICARE GROUP
MO
01
MA1080002
CCL INDIVDUAL PROVIDER NUMBER
MO
01
P00275849
RR CCL GROUP
MO
01
P00847493
RAILROAD MEDICARE
MO
Enumeration date
08/25/2005
Last updated
04/23/2020
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