MEDICARE: BARBARA C JOST MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	115477	MO

General Provider Information

NPI Number	:	1144243031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA C JOST MD

Provider Business Mailing Address
First Line	:	969 N MASON RD STE 240
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6338
Country	:	US
Telephone Number	:	314-542-0606
Fax Number	:	314-542-0212

Provider Business Practice Location Address
First Line	:	969 N MASON RD STE 240
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6338
Country	:	US
Telephone Number	:	314-542-0606
Fax Number	:	314-542-0212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	12/04/2021

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