Basic Information
Provider Information
NPI: 1083647556
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BITTER
FirstName: CINDY
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13120 FIRTREE CT
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631461811
CountryCode: US
TelephoneNumber: 3144690622
FaxNumber:  
Practice Location
Address1: 3015 N BALLAS RD
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631312329
CountryCode: US
TelephoneNumber: 3149965225
FaxNumber: 3149910943
Other Information
ProviderEnumerationDate: 07/08/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X111225MOY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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