Individual
DR. TIMOTHY R HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3635 VISTA AVE, ST LOUIS UNIVERSITY HOSPITAL, WEST PAVILLION, RM 320, SAINT LOUIS, MO 63110-2539
(314) 577-8780
(314) 268-5697
Mailing address
3635 VISTA AVE, ST LOUIS UNIVERSITY HOSPITAL, WEST PAVILLION, RM 320, SAINT LOUIS, MO 63110-2539
(314) 577-8780
(314) 268-5697
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2010017732
MO
Other
Enumeration date
06/23/2010
Last updated
01/12/2021
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