Mrs. Melissa Sue Puffenbarger
Pediatrician Pediatric Emergency Doctor
615 S New Ballas Rd
Saint Louis
, Missouri 63141
Mrs. Melissa Sue Puffenbarger
Pediatrician Pediatric Emergency Doctor
615 S New Ballas Rd
Saint Louis
, Missouri 63141
(314) 251-6816
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Mrs. Melissa Sue Puffenbarger
- 625 S. New Ballas Road Attn: B011
- Saint Louis, MO
- Zip : 63141-8221
- Phone : (314) 251-6816
Second Address
- Mrs. Melissa Sue Puffenbarger
- 615 S New Ballas Rd
- Saint Louis, MO
- Zip : 63141
- Phone : (314) 251-6816
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 2015029488 | MO |
| Y | 2080P0204X | Pediatric Emergency Doctor | 2015029488 | MO |
National Provider Identifier
| NPI | 1023377769 |
|---|---|
| Provider Name | Mrs. Melissa Sue Puffenbarger |
| First Address | Saint Louis, MO 63141-8221 |
| Second Address | Saint Louis, MO 63141 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2012 |
| Last Update Date | 29/10/2019 |
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.