Individual
IRENA VIVIAN VITKOVITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, BOX 8072, SAINT LOUIS, MO 63110-1010
(314) 362-9177
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036130034
IL
207P00000X
Emergency Medicine Physician
1024846
MA
207P00000X
Emergency Medicine Physician
18294
NV
207P00000X
Emergency Medicine Physician
Primary
2008015956
MO
Other
Enumeration date
06/18/2008
Last updated
08/26/2025
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