Individual
MARKETA KASALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
755 DUNN RD, STE 110, HAZELWOOD, MO 63042-1751
(314) 731-4222
Mailing address
9966 CONWAY RD, SAINT LOUIS, MO 63124-1671
(314) 567-1700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007010298
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00658454
RAILROAD MEDICARE
MO
Enumeration date
06/04/2007
Last updated
04/16/2014
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