Healthcare Provider Details

I. General information

NPI: 1891808879
Provider Name (Legal Business Name): MARIA D SABIO MD,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 S KIRKWOOD RD SUITE 200
KIRKWOOD MO
63122-6015
US

IV. Provider business mailing address

816 S KIRKWOOD RD SUITE 200
KIRKWOOD MO
63122-6015
US

V. Phone/Fax

Practice location:
  • Phone: 314-821-2100
  • Fax: 314-822-7726
Mailing address:
  • Phone: 314-821-2100
  • Fax: 314-822-7726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberR7J90
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: