Ralph Robert Hatlelid, M.D.
Internal Medicine, Nephrology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1184056830
StatusActive
Last updated in NPPESAug 5, 2013
Details
- NPI
- 1184056830
- Entity type
- Individual (NPI-1)
- Name
- Ralph Robert Hatlelid
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2013
- Last updated
- Aug 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | R3B09 | MO | Yes |
Practice location
318 E Swon AveSaint Louis, MO 63119-3112
Phone 314-395-1876 · Fax 314-395-1876
Mailing address
318 E Swon AveSaint Louis, MO 63119-3112
Phone 314-395-1876 · Fax 314-395-1876
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