Organization
ST. LOUIS INFECTIOUS DISEASE SPECIALISTS, LLC
Active
Organization
ST. LOUIS INFECTIOUS DISEASE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJEEV DEWAN M.D. (PHYSICIAN)
(618) 624-0220
Entity
Organization
Contact information
Practice address
3844 S LINDBERGH BLVD, SUITE 250, SAINT LOUIS, MO 63127-1368
(618) 670-7090
Mailing address
PO BOX 713, 10 FENTON PLAZA, FENTON, MO 63026-0713
(618) 624-0220
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2004025502
MO
207RI0200X
Infectious Disease Physician
2008019273
MO
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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