KALLA ALEXIS GERVASIO

SAINT LOUIS, MO
NPI1619409364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery
(Licence: MO  2022016365)
Enumeration Date2017-03-31
Last Update Date2024-04-25
Business Address
Dr. KALLA ALEXIS GERVASIO MD
4901 FOREST PARK AVE DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108-1495
Phone number: 314-362-3937
Mailing Address
Dr. KALLA ALEXIS GERVASIO MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-3937