Mrs. Elizabeth Marsicano
Internist Gastroenterologist
3635 Vista Ave Division Of Gastroenterology, Desloge Tower 9th Floor
Saint Louis
, Missouri 63110-2539
Mrs. Elizabeth Marsicano
Internist Gastroenterologist
3635 Vista Ave Division Of Gastroenterology, Desloge Tower 9th Floor
Saint Louis
, Missouri 63110-2539
(305) 989-5043
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Mrs. Elizabeth Marsicano
- 17 Hillard Rd
- Saint Louis, MO
- Zip : 63122-3253
- Phone : (305) 989-5043
Second Address
- Mrs. Elizabeth Marsicano
- 3635 Vista Ave Division Of Gastroenterology, Desloge Tower 9th Floor
- Saint Louis, MO
- Zip : 63110-2539
- Phone : (314) 577-8764
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 109857 | FL |
| N | 111NI0900X | Internist | 109857 | FL |
| Y | 207RG0100X | Gastroenterologist | 2015016906 | MO |
National Provider Identifier
| NPI | 1043482375 |
|---|---|
| Provider Name | Mrs. Elizabeth Marsicano |
| First Address | Saint Louis, MO 63122-3253 |
| Second Address | Saint Louis, MO 63110-2539 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2008 |
| Last Update Date | 27/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.