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General NPI Number Information
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NPI Number | 1417861659
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Entity Type | Individual
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Provider Name | DMITRIY YABLONSKIY
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Gender | Male
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 4525 SCOTT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1030
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Country | US
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Telephone | 314-362-1815
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Fax |
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Provider Business Mailing Address
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Address Line | 118 STONEYSIDE LN
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City | OLIVETTE
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State | MO
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Zip | 63132-4124
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Country | US
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Telephone | 314-482-1674
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State | NULL
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