Individual provider · Type 1 NPI

Kristen Marguerite Davidge, MD, MSC

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

NPI number 1205182235 Active

Practice location

660 S Euclid Ave, Campus Box 8238
St. Louis, MO 63110-1010

Call (314) 779-8684 Map

Mailing address

4535 Forest Park Ave, Suite 316
St. Louis, MO 63108-2128

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2012016532 (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 1205182235

Kristen Marguerite Davidge, MD, MSC's National Provider Identifier is 1205182235, issued on Jul 27, 2012. 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 Jul 27, 2012.