Healthcare Provider Details

I. General information

NPI: 1255425351
Provider Name (Legal Business Name): ELIZABETH FRANCESCA PRIBOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 CRAIG RD SUITE 135
ST LOUIS MO
63141-7138
US

IV. Provider business mailing address

777 CRAIG RD SUITE 135
ST LOUIS MO
63141-7138
US

V. Phone/Fax

Practice location:
  • Phone: 314-569-2525
  • Fax: 314-569-0750
Mailing address:
  • Phone: 314-569-2525
  • Fax: 314-569-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberR9H04
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR9H04
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberR9H04
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: