Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 115350 | MO |
N | 111NI0900X | Internist | 115350 | MO |
Y | 207RH0000X | Hematologist | 115350 | MO |
N | 207RX0202X | Medical Oncology | 115350 | MO |
NPI | 1326064544 |
---|---|
Provider Name | Dr. Elaine M Majerus |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209071505 | (05) | MO |