Individual
DR. MONTY MAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2527
(314) 747-8880
Mailing address
1234 S. KINGSHIGHWAY BLVD, SUITE 1200, MS 8515-87-1200, SAINT LOUIS, MO 63110-2171
(314) 273-1006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017009608
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2017009608
MO
Other
Enumeration date
07/02/2013
Last updated
12/04/2020
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