Healthcare Provider Details
I. General information
NPI: 1063474781
Provider Name (Legal Business Name): WOMEN'S HEALTH PARTNERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2006
Last Update Date: 08/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
211 N MERAMEC AVE SUITE 200
SAINT LOUIS MO
63105-3745
US
IV. Provider business mailing address
211 N MERAMEC AVE SUITE 200
SAINT LOUIS MO
63105-3745
US
V. Phone/Fax
- Phone: 314-726-1150
- Fax:
- Phone: 314-726-1150
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CATHERINE
L
DEAN
Title or Position: PRESIDENT
Credential: M.D., MPH
Phone: 314-726-1150