Individual
DR. LESLIE NOEL CHANASUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17701 EDISON AVE STE 101, CHESTERFIELD, MO 63005
(636) 735-4122
Mailing address
7532 HIAWATHA AVE, SAINT LOUIS, MO 63117-2158
(314) 495-8021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019031792
MO
Other
Enumeration date
04/16/2016
Last updated
09/04/2019
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