NPI Provider: 1043305428
Contact Name: Dixon B Michael
Position: Owner
Phone: (314) 842-7910
St. Gerard Obstetrics And Gynecology, Llc Information:
St. Gerard Obstetrics And Gynecology, Llc organization have npi 1043305428, taxonomy code is 207V00000X with license number is in . This Business address located in 10004 Kennerly Road, St. Louis, MO 63128 Missouri.
Practice Location
Address: 10004 Kennerly Road, St. Louis, MO 63128
Phone: (314) 842-7910
Business Location
Address: 10004 Kennerly Road, St. Louis, MO 63128
Phone: (314) 842-7910
Fax: (314) 842-7911
Taxonomy
Taxonomy Code: 207V00000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 10/3/2006
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