Provider Demographics
NPI:1386934768
Name:DUMONTIER, ERIN M (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:DUMONTIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3844 S LINDBERGH BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1387
Mailing Address - Country:US
Mailing Address - Phone:314-525-0420
Mailing Address - Fax:
Practice Address - Street 1:3844 S LINDBERGH BLVD STE 210
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1387
Practice Address - Country:US
Practice Address - Phone:314-525-0420
Practice Address - Fax:314-725-0425
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015018613207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program