Individual provider · Type 1 NPI

Maria Ly, MD/PHD

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

NPI number 1104566165 Active

Practice location

1 Barnes Jew Hosp Plz
St. Louis, MO 63110-1003

Call (314) 747-3000 Map

Mailing address

660 S Euclid Ave
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X2023015976 (MO)

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 1104566165

Maria Ly, MD/PHD's National Provider Identifier is 1104566165, issued on Mar 29, 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 Jun 21, 2023.