OSARENREN IDEMUDIA

SAINT LOUIS, MO
NPI1467013094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2022024167)
Enumeration Date2019-06-25
Last Update Date2022-07-01
Business Address
OSARENREN IDEMUDIA MD
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-517-2298
Mailing Address
OSARENREN IDEMUDIA MD
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-517-2298
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