Healthcare Provider Details
I. General information
NPI: 1073654091
Provider Name (Legal Business Name): GENA L NAPIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/11/2007
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11125 DUNN RD STE 406
SAINT LOUIS MO
63136-6132
US
IV. Provider business mailing address
11125 DUNN RD STE 406
SAINT LOUIS MO
63136-6132
US
V. Phone/Fax
- Phone: 314-653-5484
- Fax: 314-653-5483
- Phone: 314-653-5484
- Fax: 314-653-5483
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 41797 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | 2009010248 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 2009010248 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: