Individual provider · Type 1 NPI

Devera Elcock, MD

General Practice Physician · St. Louis, MO

NPI number 1942319967 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6031 Map

Mailing address

555 N New Ballas Rd, Suite 150
St. Louis, MO 63141-6825

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XR6245 (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 1942319967

Devera Elcock, MD's National Provider Identifier is 1942319967, issued on Aug 30, 2006. 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 Jul 8, 2007.