Individual
DR. MIRA AUBUCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17300 N OUTER 40 ROAD, SUITE 101, CHESTERFIELD, MO 63005
(636) 779-9899
(636) 778-9915
Mailing address
17300 N OUTER 40 ROAD, SUITE 101, CHESTERFIELD, MO 63005
(636) 779-9899
(636) 778-9915
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2009007865
MO
207V00000X
Obstetrics & Gynecology Physician
35-086756
OH
207V00000X
Obstetrics & Gynecology Physician
39746
KY
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
35-086756
OH
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
39746
KY
207VE0102X
Reproductive Endocrinology Physician
2009007865
MO
207VE0102X
Reproductive Endocrinology Physician
35-086756
OH
207VE0102X
Reproductive Endocrinology Physician
39746
KY
207VG0400X
Gynecology Physician
2009007865
MO
207VG0400X
Gynecology Physician
35-086756
OH
207VG0400X
Gynecology Physician
39746
KY
207VX0000X
Obstetrics Physician
2009007865
MO
207VX0000X
Obstetrics Physician
35-086756
OH
207VX0000X
Obstetrics Physician
39746
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600788
—
OH
05
—
64105794
—
KY
Enumeration date
06/09/2006
Last updated
04/18/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us