Dr. Edward Bernard Baietto, M.D.
Internal Medicine in Chesterfield, MO. Individual provider (NPI-1).
NPI number1477586840
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477586840
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Bernard Baietto
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | R3240 | MO | Yes |
Practice location
15119 Chamisal DrChesterfield, MO 63017-7723
Phone 636-532-4112 · Fax 636-532-4136
Mailing address
15119 Chamisal DrChesterfield, MO 63017-7723
Phone 636-532-4112 · Fax 636-532-4136
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