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General NPI Number Information
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NPI Number | 1780990739
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Entity Type | Individual
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Provider Name | GISELE RAMOS OLIVEIRA M.D. M.SC. PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 1438 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1027
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Country | US
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Telephone | 314-960-8718
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Fax | 314-977-4876
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Provider Business Mailing Address
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Address Line | 8023 STANFORD AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63130-3615
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Country | US
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Telephone | 314-256-1895
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Fax | 314-977-4876
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2010011159
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License Number State | MO
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