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1770577736
MARK FOGARTY
SAINT LOUIS, MO
NPI
1770577736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 106500)
Enumeration Date
2005-09-07
Last Update Date
2018-06-29
Business Address
MARK FOGARTY M.D.
7419 WATSON RD
SAINT LOUIS, MO 63119-4415
Phone number: 314-400-3360
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Mailing Address
MARK FOGARTY M.D.
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-400-3360
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