Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 115477 | MO |
NPI | 1144243031 |
---|---|
Provider Name | Barbara C Jost |
First Address | Saint Louis, MO 63141-6338 |
Second Address | Saint Louis, MO 63141-6338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 04/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H38745 | (02) |