Marissa Omurtag M.D.

NPI 1093992679 - Anesthesiology - 207L00000X

NPI Details
NPI 1093992679
Gender Female
Enumeration Date 01/26/2008
Last Updated 12/29/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
615 S NEW BALLAS RD
DEPT. OF ANESTHESIA
SAINT LOUIS MO, 63141-8221, US
Phone (314) 251-4687
Fax
Business Location
339 CONSORT DR
BALLWIN MO, 63011-4439, US
Phone (636) 386-9224
Fax (636) 200-4243
Toxanomy
Taxonomy Code 207L00000X
License State Georgia
License Number 002828
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According to our database, Dr. Marissa Omurtag M.D. NPI is 1093992679, taxonomy code is 207L00000X and license number is 002828, license state is located at Georgia. Marissa Omurtag M.D. physically located at 615 S New Ballas Rd, Saint Louis MO, 63141-8221. NPI Number Marissa Omurtag M.D. has the Individual type.

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1093992679 NPI number is provided on an as is basis without warranty of any kind. 1093992679 is maintained by the National Plan & Provider Enumeration System. The contents of Marissa Omurtag M.D. are for informational purposes only.