Individual
DR. ALEXANDER JOHN MAZZAFERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4280 MID AMERICA LN STE 30, SAINT LOUIS, MO 63129-1202
(314) 782-2620
Mailing address
4280 MID AMERICA PLACE, SUITE 30, SAINT LOUIS, MO 63129
(314) 475-2465
(314) 782-2620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014017191
MO
207Q00000X
Family Medicine Physician
Primary
2017018127
MO
Other
Enumeration date
06/09/2014
Last updated
03/17/2018
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