Sean Oliver Cavanaugh
Emergency Physician
660 S Euclid Ave # 8072 Washington University Emergency Medicine
Saint Louis
, Missouri 63110-1010
Sean Oliver Cavanaugh
Emergency Physician
660 S Euclid Ave # 8072 Washington University Emergency Medicine
Saint Louis
, Missouri 63110-1010
(314) 362-9177
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Sean Oliver Cavanaugh
- 660 South Euclid Ave Campus Box 8072
- Saint Louis, MO
- Zip : 63110-1189
- Phone : (314) 362-9177
Second Address
- Sean Oliver Cavanaugh
- 660 S Euclid Ave # 8072 Washington University Emergency Medicine
- Saint Louis, MO
- Zip : 63110-1010
- Phone : (314) 362-9177
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 2015014472 | MO |
| N | 207P00000X | Emergency Physician | BJH2012017417 | MO |
National Provider Identifier
| NPI | 1003179151 |
|---|---|
| Provider Name | Sean Oliver Cavanaugh |
| First Address | Saint Louis, MO 63110-1189 |
| Second Address | Saint Louis, MO 63110-1010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2012 |
| Last Update Date | 18/02/2016 |
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.