Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 26681 | MO |
NPI | 1104910769 |
---|---|
Provider Name | Dr. Joe Edward Belew |
First Address | Chesterfield, MO 63017-3451 |
Second Address | Chesterfield, MO 63017-3451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A23041 | (02) | MO |