THEODORE G. SAMPLE

ST. LOUIS, MO
NPI1922191584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  112824)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- THEODORE G. SAMPLE M.D.
621 S. NEW BALLAS ROAD SUITE 6009-B
ST. LOUIS, MO 63141
Phone number: 314-251-6598
Mailing Address
-- THEODORE G. SAMPLE M.D.
621 S. NEW BALLAS ROAD SUITE 6009-B
ST. LOUIS, MO 63141
Phone number: 314-251-6598
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