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1356367668
WADE LARRY THORSTAD
SAINT LOUIS, MO
NPI
1356367668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: MO 2000156471)
Enumeration Date
2006-07-14
Last Update Date
2024-09-18
Business Address
Dr. WADE LARRY THORSTAD MD
4921 PARKVIEW PL DEPT RADIATION ONCOLOGY, LL
SAINT LOUIS, MO 63110-1032
Phone number: 314-747-7236
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Mailing Address
Dr. WADE LARRY THORSTAD MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-747-7236
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