Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 103120 | MO |
NPI | 1013943406 |
---|---|
Provider Name | Dr. Ann Marie S Rockamann |
First Address | Saint Louis, MO 63131-2332 |
Second Address | Saint Louis, MO 63131-2332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 13/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110176 | BLUE CROSS BLUE SHIELD (01) | MO |
5629009 | AETNA (01) | MO |
G10271 | (02) |