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NPI Code Detail

MEDICARE: ALIZA MACHEFSKY

MEDICARE: ALIZA MACHEFSKY
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
1207V00000XObstetrics & Gynecology Physician2016020843MO
2390200000XStudent in an Organized Health Care Education/Training Program
3207V00000XObstetrics & Gynecology Physician86229GA

General Provider Information

NPI Number : 1841646908
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIZA MACHEFSKY
Provider Business Mailing Address
First Line : 6420 CLAYTON RD
Second Line : ST. MARY'S HEALTH CENTER
City : SAINT LOUIS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-781-4772
Fax Number :
Provider Business Practice Location Address
First Line : 6420 CLAYTON RD
Second Line : ST. MARY'S HEALTH CENTER
City : SAINT LOUIS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-781-4772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 07/29/2021

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