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1043654429
ADAM BALES
SAINT LOUIS, MO
NPI
1043654429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO 2017010583)
Enumeration Date
2013-04-29
Last Update Date
2019-05-23
Business Address
ADAM BALES D.O.
1402 S GRAND BLVD M260
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-9853
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Mailing Address
ADAM BALES D.O.
236 NE DREAMWEAVER AVE
LEES SUMMIT, MO 64086-5851
Phone number: 816-718-1187
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