Unknown Individual – Gastroenterology Physician, NPI 1922090935
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
C B 8124
SAINT LOUIS, MO 631101010
Phone: (314) 747-4161
Fax: (314) 747-1277
Type: Mailing
Siteman Cancer Center, 4921, Parkview Place, BJC, City of Saint Louis, Missouri, 63110, United States
STE 10B
SAINT LOUIS, MO 631101032
Phone: (314) 747-4161
Fax: (314) 747-1277
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63110)
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