Organization
WASHINGTON UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINE NATIVIDAD IGNACIO M.D. (CHIEF RESIDENT)
(314) 229-7944
Entity
Organization
Contact information
Practice address
4444 FOREST PARK AVE, CAMPUS BOX 8518, SAINT LOUIS, MO 63108-2212
(314) 445-7757
Mailing address
3278 JANUARY AVE APT 2, SAINT LOUIS, MO 63139-1743
(314) 229-7944
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2004015125
MO
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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