Vanderford, Paula A

Vanderford, Paula A is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Vanderford, Paula A can be contacted via phone (314) 577-5638.

Contact Information

Primary practice address
1465 S Grand Blvd Saint Louis MO 63104-1003
Phone: (314) 577-5638
Fax: (314) 268-4081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD28634 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 2022038337 Missouri

Profile Details

NPI number 1053304006
LBN Legal business name Vanderford, Paula A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053304006 NPPES
Oregon Other R144108 MEDICARE PTAN
Oregon Other 028523 MEDICARE PTAN

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