Individual provider · NPI-1

Dr. Nathan Patrick Achilly, MD, PhD

Student in an Organized Health Care Education/Training Program · Saint Louis, MO

NPI number1154065431
StatusActive
Last updated in NPPESApr 23, 2022

Details

NPI
1154065431
Entity type
Individual (NPI-1)
Name
Dr. Nathan Patrick Achilly
Credential
MD, PhD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2022
Certification date
Apr 23, 2022
Last updated
Apr 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–MOYes

Practice location

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003

Phone 314-747-3000

Mailing address

660 S Euclid Ave # 8054
Saint Louis, MO 63110-1010

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