Individual
DR. CHRISTY M BAUER FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
366 CONWAY GARDENS COURT, ST LOUIS, MO 63141
(314) 996-5225
(314) 275-4005
Mailing address
366 CONWAY GARDENS CT, ST LOUIS, MO 63141
(314) 275-7746
(314) 275-4005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MDR315
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206719031
—
MO
Enumeration date
11/18/2005
Last updated
12/31/2015
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