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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