Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | R3F72 | MO |
NPI | 1003895236 |
---|---|
Provider Name | Joseph M Ojile |
First Address | Saint Louis, MO 63123-6963 |
Second Address | Saint Louis, MO 63123-6922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 04/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202899316 | (05) | MO |
E56844 | (02) | MO |