St. Gerard Obstetrics and Gynecology, LLC

NPI #1043305428 in St. Louis, Missouri

Provider Information

NPI Number: 1043305428
Entity Type: Organization
Organization Name: St. Gerard Obstetrics and Gynecology, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 10004 KENNERLY ROAD
Address 2: SUITE 386B
City: St. Louis
State: Missouri
ZIP Code: 63128
Phone: (314) 842-7910

Authorized Official

Name: MICHAEL B DIXON, M.D.
Title: OWNER
Phone: (314) 842-7910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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