Healthcare Provider Details

I. General information

NPI: 1952976532
Provider Name (Legal Business Name): CAJIGAL ALLERGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 VETERANS MEMORIAL PKWY STE 101
SAINT PETERS MO
63376-2299
US

IV. Provider business mailing address

5301 VETERANS MEMORIAL PKWY STE 101
SAINT PETERS MO
63376-2299
US

V. Phone/Fax

Practice location:
  • Phone: 314-530-6080
  • Fax: 314-887-7905
Mailing address:
  • Phone: 314-530-6080
  • Fax: 314-887-7905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: SONIA CAJIGAL
Title or Position: OWNER
Credential: MD
Phone: 314-530-6080