Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 115638 | MO |
NPI | 1023088564 |
---|---|
Provider Name | John W Finnie |
First Address | Saint Louis, MO 63141-8222 |
Second Address | Saint Louis, MO 63141-8222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 08/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204589600 | (05) | MO |
I17485 | (02) | MO |