Healthcare Provider Details

I. General information

NPI: 1205452034
Provider Name (Legal Business Name): JULIA SUGGS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S NEW BALLAS RD STE 7063R
SAINT LOUIS MO
63141-8240
US

IV. Provider business mailing address

625 S NEW BALLAS RD STE 7063R
SAINT LOUIS MO
63141-8240
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-4200
  • Fax:
Mailing address:
  • Phone: 314-251-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number2025032279
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: