Wendolyn M Disalvo
M.D. | Pediatrics | Female
Wendolyn M Disalvo, M.D. is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Wendolyn M Disalvo is
11133 Dunn Rd, Street, Saint Louis, Missouri - 63136-6119. She can be contacted on phone at
314-653-5000.
Wendolyn M Disalvo is a sole proprietor of her business.
NPI number (Unique professional ID) for Wendolyn M Disalvo is
1871668798 which was assigned by NPPES on 24 Nov, 2006 and it was last updated on 15 Mar, 2023.
Wendolyn M Disalvo license number is
2006032134 for Pediatrics (208000000X) in Missouri.
Wendolyn M Disalvo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Wendolyn M Disalvo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Wendolyn M Disalvo |
|---|
| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Wendolyn M Disalvo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11133 Dunn Rd, Street
Saint Louis, MO, 63136-6119
United States |
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| Phone Number : | 314-653-5000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871668798 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Nov, 2006 |
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| Last Updated On : | 15 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wendolyn M Disalvo are as mentioned. Primary taxonomy code for Wendolyn M Disalvo, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 2003014836 | MO |
| 207P00000X | Emergency Medicine | No | 2006032134 | MO |
| 208000000X | Pediatrics | Yes | 2006032134 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Wendolyn M Disalvo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| $$$$$$$$$ | MEDICAID | IL | |
| $$$$$$$$$ | MEDICAID | IL | |
| 202437901 | MEDICAID | MO | |
| 310454740 | MEDICARE PIN | MO | |
| 310454748 | MEDICARE PIN | MO | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1000 W 10TH ST,
ROLLA, MO, 65401-2905
United States | ROLLA, MO | 573-458-8899 |
1000 W 10TH ST,
ROLLA, MO, 65401-2905
United States | ROLLA, MO | 573-364-9000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 75 Remit Dr, Lockbox 6810
Chicago, IL, 60675-6810
United States |
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| Phone Number : | 866-916-5259 |
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Business Location:
Patients can refer following map for directions to
Wendolyn M Disalvo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.