Search › Missouri › 363LG0600X
Pibi Bouda
NPI 1235836982 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3320 Marshall Ave
Saint Louis, MO 63114 - Phone
- (314) 489-5537
Additional practice sites
- 12277 Depaul Dr., Bridgeton, MO
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri