Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Suzanne Renee Thibodeaux, MDPHD

Individual provider Clinical Pathology Physician · NPI 1073958658

Dr. Suzanne Renee Thibodeaux, MDPHD is a Pathology in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013
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Practice location Address checks out

425 S Euclid Ave Div Pa Lab And Genomic Med
Saint Louis, MO 63110-1005
Phone: (314) 362-5641
Fax: (314) 362-0369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X · Licence 2017030247 (MO)

Record details

NPI number1073958658
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESApril 17, 2025
Mailing addressPo Box 7412011, Chicago, IL 60674-2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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