Provider Demographics
NPI:1649433566
Name:TILLING, SARAH JANE (DO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:TILLING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1715 DEER TRACKS TRAIL ROAD
Mailing Address - Street 2:STE 110
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-919-2600
Mailing Address - Fax:314-919-2677
Practice Address - Street 1:1715 DEER TRACKS TRL
Practice Address - Street 2:STE 110
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1839
Practice Address - Country:US
Practice Address - Phone:314-919-2600
Practice Address - Fax:314-919-2677
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2012-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2011030408207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology