IndividualActive
Cosette Champion, MD
NPI 1467078337 · General Practice Physician · Saint Louis, MO
Provider details
- NPI number
- 1467078337
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2022015047 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4901 Forest Park Ave
Div Im General Med, Ste 241
Saint Louis, MO 63108-1495
Phone: (314) 362-5060
Fax: (314) 362-6959
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60352
Saint Louis, MO 63160-0352
Registry dates
- Enumerated
- 2020-06-17
- Last updated
- 2024-04-25
- Certified
- 2022-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.