IndividualActive
Devera Elcock, MD
NPI 1942319967 · General Practice Physician · Saint Louis, MO
Provider details
- NPI number
- 1942319967
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- R6245 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6031
Approximate (ZIP-level) locationGet directions
Mailing address
555 N New Ballas Rd
Saint Louis, MO 63141-6825
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.