Individual provider · Type 1 NPI

Colleen Patricia McNicholas, DO

Gynecology Physician · St. Louis, MO

NPI number 1962664730 Active

Practice location

4901 Forest Park Ave Ste 710, Ste 710
St. Louis, MO 63108-1402

Fax (314) 362-0049

Mailing address

660 S Euclid Ave, C B 8064
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X2011003938 (MO)
Gynecology Physician Primary 207VG0400X2011003938 (MO)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

7 other providers at this address

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About NPI 1962664730

Colleen Patricia McNicholas, DO's National Provider Identifier is 1962664730, issued on Jul 1, 2008. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in St. Louis, MO. The record was last updated on Jan 24, 2018.