LARRY WILLIAM LIST

SAINT LOUIS, MO
NPI1598277444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246QC2700X Spec/Tech, Pathology, Cytotechnology
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2017-11-01
Last Update Date2017-11-01
Business Address
LARRY WILLIAM LIST
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
Mailing Address
LARRY WILLIAM LIST
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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