Individual provider · Type 1 NPI
Jessica Ellie Ma, MD
General Practice Physician · St. Louis, MO
NPI number
1356755201
Active
Practice location
216 S Kingshighway Blvd Fl 6, 6th Floor
St. Louis, MO 63110-1026
Fax (314) 362-6959
Mailing address
660 S Euclid Ave, C B 8121
St. Louis, MO 63110-1010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 2016029095 (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 1356755201
Jessica Ellie Ma, MD's National Provider Identifier is 1356755201, issued on Jun 19, 2014. 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.