Provider Demographics
NPI:1538662366
Name:GO, ABIGAIL (DO)
Entity type:Individual
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First Name:ABIGAIL
Middle Name:
Last Name:GO
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1402 S GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1004
Mailing Address - Country:US
Mailing Address - Phone:314-577-8762
Mailing Address - Fax:314-268-5108
Practice Address - Street 1:1225 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1016
Practice Address - Country:US
Practice Address - Phone:314-977-6190
Practice Address - Fax:314-977-6164
Is Sole Proprietor?:No
Enumeration Date:2018-03-18
Last Update Date:2024-06-12
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Provider Licenses
StateLicense IDTaxonomies
MO2021025351207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease