Individual
JAMES SERTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 S BRENTWOOD BLVD, SUITE 816, SAINT LOUIS, MO 63117-1223
(314) 863-7766
(314) 863-5250
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1075
(314) 851-4477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30587
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010036
ESSENCE
MO
01
—
0400282
UHC
MO
01
—
100623
BCBS
MO
01
—
127491
GHP
MO
01
—
136657
HEALTHLINK
MO
01
—
2193977
AETNA US
MO
01
—
5606453
AETNA
—
01
—
D83432
MERCY
MO
Enumeration date
11/10/2005
Last updated
03/18/2008
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