Individual provider · Type 1 NPI

Cosette Dechant Champion, MD

General Practice Physician · St. Louis, MO

NPI number 1467078337 Active

Practice location

4901 Forest Park Ave, Div Im General Med, Ste 241
St. Louis, MO 63108-1495

Call (314) 362-5060 Map

Fax (314) 362-6959

Mailing address

PO Box 60352
St. Louis, MO 63160-0352

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X2022015047 (MO)
Hospitalist Physician 208M00000X2022015047 (MO)
General Practice Physician Primary 208D00000X2022015047 (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 1467078337

Cosette Dechant Champion, MD's National Provider Identifier is 1467078337, issued on Jun 17, 2020. 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 Apr 25, 2024.