Individual
CHRISTINA GUYTON INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4055 LINDELL BLVD., ST. LOUIS, MO 63103-3201
(314) 535-7701
(314) 535-0207
Mailing address
4055 LINDELL BLVD., ST. LOUIS, MO 63108-3201
(314) 535-7701
(314) 535-0207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
106585
MO
Other
Enumeration date
03/28/2007
Last updated
12/11/2015
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