Individual provider · Type 1 NPI

Elna Mieko Nagasako, MD

General Practice Physician · St. Louis, MO

NPI number 1164628798 Active

Practice location

4901 Forest Park Ave, Wohl Clinic Ste 241
St. Louis, MO 63108-1402

Call (314) 362-5060 Map

Fax (314) 362-5969

Mailing address

660 S Euclid Ave, C B 8121
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X2010011916 (MO)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1164628798

Elna Mieko Nagasako, MD's National Provider Identifier is 1164628798, issued on Jun 21, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 24, 2018.