Provider Demographics
NPI:1982610499
Name:COLE, SARAH Z (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:Z
Last Name:COLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:12680 OLIVE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6322
Mailing Address - Country:US
Mailing Address - Phone:314-251-8888
Mailing Address - Fax:314-251-8889
Practice Address - Street 1:12680 OLIVE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6322
Practice Address - Country:US
Practice Address - Phone:314-251-8888
Practice Address - Fax:314-251-8889
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2014-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2005000356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1982610499Medicaid
MOP00680799OtherRAILROAD MEDICARE
MO939985280Medicare PIN
MOP00680799OtherRAILROAD MEDICARE