Individual
ELISABETH J. BABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-6000
Mailing address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R7F18
MO
208M00000X
Hospitalist Physician
Primary
R7F18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208334409
—
MO
Enumeration date
02/10/2006
Last updated
07/28/2021
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