Individual
DR. KIFLOM SEYOUM GEBRESLASSEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
SSM HEALTH/SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE, 1402 SOUTH GRAND BLVD, ST. LOUIS, MO 63104, ST. LOUIS, MO 63104
(314) 617-2408
(314) 617-2534
Mailing address
SSM HEALTH SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE, 1402 SOUTH GRAND BLVD, ROOM M260, SAINT LOUIS, MO 63104
(314) 617-2408
(314) 617-2534
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2024028926
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/13/2024
Last updated
06/03/2025
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