Individual
CONNIE MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1044 N MASON RD, CREVE COEUR, MO 63141-6431
(314) 362-7509
Mailing address
1044 N MASON RD, CREVE COEUR, MO 63141-6431
(615) 322-6180
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
06/10/2026
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