DR. Paul M Vandivort JR., MD

NPI #1780801407 in Clayton, Missouri

Provider Information

NPI Number
1780801407
Entity Type
Individual
Name
DR. Paul M Vandivort JR., MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
MD
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
141 N MERAMEC AVE STE 306
ZIP Code
63105-3750
Phone
(314) 721-2286

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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