Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2006017154 | MO |
NPI | 1003936428 |
---|---|
Provider Name | Sarah B. Aschkenasi |
First Address | Saint Louis, MO 63156-8221 |
Second Address | Saint Louis, MO 63110-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |