Elizabeth Suba
Medical Specialty
Professional ID
- NPI: 1891216123
- PECOS ID: 3476825738
- Enrollment ID: I20170821003224
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2017
Medical Practices
- Organization Name: St Louis University
- Group Practice ID assigned by PECOS: 8022921964
- Number of Group Practice member: 522
Location
- Address1: 3660 Vista Ave
- Address2:
- City: Saint Louis
- State: Missouri
- Zip Code: 63110
- Phone Number: (314)977-5110
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):