Individual
DR. ITAY MARMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL CB 8116, ST. LOUIS, MO 63110
(314) 454-6124
(314) 454-4861
Mailing address
1 CHILDRENS PL CB 8116, ST. LOUIS, MO 63110
(314) 454-6124
(314) 454-4861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019023813
MO
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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