Provider Demographics
NPI:1649501834
Name:DAVID, POLLY KATE (MD)
Entity type:Individual
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First Name:POLLY
Middle Name:KATE
Last Name:DAVID
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8790 WATSON RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-5140
Mailing Address - Country:US
Mailing Address - Phone:314-543-2800
Mailing Address - Fax:314-543-2801
Practice Address - Street 1:3535 S JEFFERSON AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3930
Practice Address - Country:US
Practice Address - Phone:314-543-2895
Practice Address - Fax:314-543-2801
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
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Provider Licenses
StateLicense IDTaxonomies
MO2008020857207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease