Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 2019016081 | MO |
NPI | 1386079481 |
---|---|
Provider Name | Melissa Schwartz |
First Address | Saint Louis, MO 63117-1811 |
Second Address | Saint Louis, MO 63117-1858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2013 |
Last Update Date | 12/01/2022 |