MATTIE WHITE

SAINT LOUIS, MO
NPI1316912892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2008014947)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036103546)
Enumeration Date2006-02-20
Last Update Date2017-10-17
Business Address
MRS. MATTIE WHITE MD
3197 PORTIS AVE
SAINT LOUIS, MO 63116-2023
Phone number: 618-713-3847
Mailing Address
MRS. MATTIE WHITE MD
3197 PORTIS AVE
SAINT LOUIS, MO 63116-2023
Phone number: