Dr. Jessica Ellie Ma, MD
General Practice in Saint Louis, MO. Individual provider (NPI-1).
NPI number1356755201
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1356755201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessica Ellie Ma
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2014
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 2016029095 | MO | Yes |
Practice location
216 S Kingshighway Blvd Fl 66th Floor
Saint Louis, MO 63110-1026
Phone 314-362-5060 · Fax 314-362-6959
Mailing address
660 S Euclid AveC B 8121
Saint Louis, MO 63110-1010
Phone 314-454-8082 · Fax 314-362-7491
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