Individual
MARK CANNON VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 S EUCLID AVE, OBSTETRICS AND GYNECOLOGY MAIL STOP 8064-37-1005, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2019018211
MO
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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