MEDICARE: DR. ROCHELLE GENE CATUS 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	207V00000X	Obstetrics & Gynecology Physician	R7F34	MO

General Provider Information

NPI Number	:	1497747224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROCHELLE GENE CATUS M.D.

Provider Business Mailing Address
First Line	:	12255 DE PAUL DR
Second Line	:	STE 765
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2510
Country	:	US
Telephone Number	:	314-298-8646
Fax Number	:	314-291-8646

Provider Business Practice Location Address
First Line	:	12255 DE PAUL DR
Second Line	:	STE 765
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2510
Country	:	US
Telephone Number	:	314-298-8646
Fax Number	:	314-291-8646

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	09/30/2011

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