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1942319967
DEVERA ELCOCK
SAINT LOUIS, MO
NPI
1942319967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: MO R6245)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- DEVERA ELCOCK MD
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6031
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Mailing Address
-- DEVERA ELCOCK MD
555 N NEW BALLAS RD SUITE 150
SAINT LOUIS, MO 63141-6825
Phone number: 314-991-8200
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