MARTHA J KOENEGSTEIN

BRIDGETON, MO
NPI1336194539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  134466)
Enumeration Date2006-05-24
Last Update Date2007-07-09
Business Address
-- MARTHA J KOENEGSTEIN CPNP
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Phone number: 314-344-6000
Mailing Address
-- MARTHA J KOENEGSTEIN CPNP
1836 LACKLAND HILL PKWY ATTENTION: CREDENTIALING SUPERVISOR
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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