Individual
DR. MARY VATTEROTT HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6121 N HANLEY RD, ST LOUIS COUNTY DEPARTMENT OF HEALTH, SAINT LOUIS, MO 63134-2003
(314) 615-5767
(314) 615-5629
Mailing address
1402 S. GRAND, DEPARTMENT OF FAMILY MEDICINE, ST LOUIS, MO 63104
(314) 977-8492
(314) 977-5268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MOR8399
MO
207Q00000X
Family Medicine Physician
R8E99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289050157
CPIN
MO
Enumeration date
08/01/2008
Last updated
09/19/2013
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