Bellerive Ob Gyn PC

NPI #1255399119 in Bridgeton, Missouri

Provider Information

NPI Number: 1255399119
Entity Type: Organization
Organization Name: Bellerive Ob Gyn PC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12277 DEPAUL DR
Address 2: STE 402
City: Bridgeton
State: Missouri
ZIP Code: 63044
Phone: (314) 291-5900

Authorized Official

Name: ALVARO MORA, MD
Title: PHYSICIAN OWNER
Phone: (314) 291-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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