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Dr. Emil A Difilippo
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Emil A Difilippo |
| Gender: | M |
| Provider License Number If Given: | 30530 |
NPI Information:
| NPI: | 1205839354 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 5/6/2015 |
Provider Business Mailing Address:
| Address: | 12639 OLD TESSON RD Saint Louis, MO 63128 |
| Phone Number: | 3148490311 |
| Fax Number: | 3148494423 |
Provider Business Practice Location Address:
| Address: | 9323 PHOENIX VILLAGE PKWY O Fallon, MO 63366 |
| Phone Number: | 6365615030 |
| Fax Number: | 6365615033 |
Provider Taxonomy:
| Primary: | 207X00000X |
| Secondary (if any): | |
| State: | MO |
