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1306109384
WALTER LEE MICKEY
SAINT LOUIS, MO
NPI
1306109384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MO 2014011937)
Enumeration Date
2012-06-24
Last Update Date
2021-03-23
Business Address
Dr. WALTER LEE MICKEY D.O.
621 S BALLAS RD STE 7020
SAINT LOUIS, MO 63122-5314
Phone number: 314-251-6000
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Mailing Address
Dr. WALTER LEE MICKEY D.O.
407 HILLINGTON DR
EUREKA, MO 63025-1089
Phone number: 541-680-8220
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