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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

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