Healthcare Provider Details
I. General information
NPI: 1235579491
Provider Name (Legal Business Name): JULIE SAHRMANN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/02/2013
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3545 LINDELL BLVD
SAINT LOUIS MO
63103-1020
US
IV. Provider business mailing address
1008 S SPRING AVE FL 3
SAINT LOUIS MO
63110-2520
US
V. Phone/Fax
- Phone: 314-977-5337
- Fax:
- Phone: 314-977-8768
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 125063869 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | 2016015731 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: