HEATHER POPHAM

SAINT LOUIS, MO
NPI1093086985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2011041207)
Enumeration Date2012-01-24
Last Update Date2014-10-15
Business Address
-- HEATHER POPHAM NP
3009 N BALLAS RD STE 207B
SAINT LOUIS, MO 63131-2322
Phone number: 314-996-7960
Mailing Address
-- HEATHER POPHAM NP
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8573
Phone number: 314-996-7960
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