Individual provider · Type 1 NPI

Andre Camille Joseph Iii, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1003565920 Active

Practice location

1402 S Grand Blvd # M260
St. Louis, MO 63104-1004

Call (314) 257-8000 Map

Mailing address

2100 Boardman St Apt 229
St. Louis, MO 63110-3054

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003565920

Andre Camille Joseph Iii, MD's National Provider Identifier is 1003565920, issued on Mar 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 31, 2025.