Dr. Michael Doran De Vita, MD
Dr. Michael Doran De Vita, MD is an Internal Medicine Physician in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.
- Licensed in
- IL, MO
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
915 N Grand BlvdSaint Louis, MO 63106-1621
Phone: (314) 652-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 2017016278 (MO) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 125059355 (IL) |
Record details
| NPI number | 1295020097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2011 |
| Last updated in NPPES | May 8, 2024 |
| Certification date | May 8, 2024 |
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