Individual
DOROTHEA J MOSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1031 BELLEVUE, ST LOUIS, MO 63117
(314) 781-4772
(314) 781-1330
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
R3L89
MO
207VX0000X
Obstetrics Physician
R3L89
MO
Other
Enumeration date
08/04/2006
Last updated
01/13/2021
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