Mager & Gougelman of St. Louis, LLC
NPI #1437783776 in Richmond Heights, Missouri
Provider Information
- NPI Number
- 1437783776
- Entity Type
- Organization
- Organization Name
- Mager & Gougelman of St. Louis, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 25, 2020
- Last Updated
- Feb 25, 2020
Practice Location
- Address
- 1034 S BRENTWOOD BLVD STE 1880
- City
- Richmond Heights
- State
- Missouri
- ZIP Code
- 63117-1218
- Phone
- (314) 726-1818
Authorized Official
- Name
- MR. TODD MICHAEL CHILES, BCO, BADO
- Title
- OWNER
- Phone
- (314) 726-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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