Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2021014492 | MO |
Y | 208000000X | Pediatrician | 2021025605 | MO |
NPI | 1003340456 |
---|---|
Provider Name | Dr. Michelle Pintea |
First Address | Saint Louis, MO 63110-1002 |
Second Address | Saint Louis, MO 63110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2017 |
Last Update Date | 06/07/2021 |