Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2017007169 | MO |
N | 111NI0900X | Internist | 2017007169 | MO |
Y | 207RH0002X | Hospice and Palliative Medicine | 2017007169 | MO |
N | 208000000X | Pediatrician | 2017007169 | MO |
NPI | 1063775328 |
---|---|
Provider Name | Dr. Monica Lynn Muir |
First Address | Saint Louis, MO 63141-8274 |
Second Address | Saint Louis, MO 63141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 09/07/2018 |