MEDICARE: DR. CAROLINE ELIZABETH DAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2007020548	MO
2	207Q00000X	Family Medicine Physician	2007020548	MO

General Provider Information

NPI Number	:	1093860652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE ELIZABETH DAY MD

Provider Business Mailing Address
First Line	:	PO BOX 60352
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63160-0352
Country	:	US
Telephone Number	:	314-362-3523
Fax Number	:	314-362-0058

Provider Business Practice Location Address
First Line	:	4525 SCOTT AVE
Second Line	:	STE 3420
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1030
Country	:	US
Telephone Number	:	314-362-3523
Fax Number	:	314-362-0058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	10/15/2024

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