Provider Demographics
NPI:1538136890
Name:MCBRIDE, MARSHA MCLARTY (MD)
Entity type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:MCLARTY
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12407 QUESTOVER MANOR CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-5461
Mailing Address - Country:US
Mailing Address - Phone:314-579-9887
Mailing Address - Fax:
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:SUITE 4005
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-5016
Practice Address - Fax:314-567-1846
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2012-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO108460207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204015804Medicaid
MO0700312OtherUNITED HEALTHCARE
MO108641OtherMERCY HEALTH PLAN
MO13236OtherHEALTHCARE USA
MO1753978OtherFIRST HEALTH
MO120872OtherBLUE SHIELD
MO34015OtherGROUP HEALTH PLAN
MO3543449OtherCIGNA
MO7246041OtherAETNA
MO412027OtherHEALTHLINK
MO7246041OtherAETNA
MO108641OtherMERCY HEALTH PLAN
MO204015804Medicaid