MEDICARE: DR. SARAH GEORGE M.D.

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	207RI0200X	Infectious Disease Physician	2003014698	MO

General Provider Information

NPI Number	:	1215994975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH GEORGE M.D.

Provider Business Mailing Address
First Line	:	1100 S GRAND BLVD
Second Line	:	DRC-8
City	:	SAINT LOUIS
State	:	MO
Zip	:	63104-1015
Country	:	US
Telephone Number	:	314-977-5500
Fax Number	:	314-771-3816

Provider Business Practice Location Address
First Line	:	3635 VISTA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-2539
Country	:	US
Telephone Number	:	314-977-5500
Fax Number	:	314-771-3816

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	04/17/2024

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