NPI 1063903482

Iqra Ansari, MD

Practitioner General Practice Physician Saint Louis, MO

Practice location

Address: 2415 N Kingshighway Blvd, Saint Louis, MO 63113
Phone: (314) 367-1083
Mailing address: 31 Sunnen Dr APT 410, Saint Louis, MO 63143-3835

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2018008808 (MO)

Other General Practice providers in Missouri →

Registry record

NPI: 1063903482
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2018
Record last updated: 21 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.