Grange, Dorothy K

Grange, Dorothy K is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Genetics And Genomic Med, Saint Louis MO 63110-1002. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Grange, Dorothy K can be contacted via phone (314) 454-6093.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Genetics And Genomic Med Saint Louis MO 63110-1002
Phone: (314) 454-6093
Fax: (844) 965-9624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X R9J19 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R9J19 Missouri
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X R9J19 Missouri

Profile Details

NPI number 1801812128
LBN Legal business name Grange, Dorothy K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2024 - 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 1801812128 NPPES
Missouri MEDICAID 202731311

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