Individual
DR. MARC RANDALL HAMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4570 CHILDRENS PL, SAINT LOUIS, MO 63110-1020
(314) 362-7601
(314) 362-0186
Mailing address
660 S EUCLID AVE, C B 8126, SAINT LOUIS, MO 63110-1010
(314) 362-7601
(314) 362-0186
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R7960
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280272040
—
IL
05
—
054010183
—
MO
Enumeration date
07/18/2006
Last updated
10/22/2015
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