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1588625693
PAUL R GANNINGER
CHESTERFIELD, MO
NPI
1588625693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2003003397)
Enumeration Date
2006-03-29
Last Update Date
2015-02-18
Business Address
Dr. PAUL R GANNINGER M.D.
1585 WOODLAKE DR SUITE 100
CHESTERFIELD, MO 63017-5740
Phone number: 314-434-4278
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Mailing Address
Dr. PAUL R GANNINGER M.D.
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-434-4278
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