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1730117102
LEONARD RAY GOLDFARB
SAINT LOUIS, MO
NPI
1730117102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207U00000X Nuclear Medicine
(Licence: MO 2004030335)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
Dr. LEONARD RAY GOLDFARB M.D.
915 N GRAND BLVD VA MEDICAL CENTER
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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Mailing Address
Dr. LEONARD RAY GOLDFARB M.D.
11515 CRAIG CT APT. 431
SAINT LOUIS, MO 63146-5293
Phone number: 314-989-9144
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