Matthew J Gibfried, MD
Internal Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1104887728
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1104887728
- Entity type
- Individual (NPI-1)
- Name
- Matthew J Gibfried
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2006
- Certification date
- Jul 6, 2026
- Last updated
- Jul 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2005023728 | MO | Yes |
| 207R00000X | Internal Medicine | 036.173912 | IL |
Practice location
615 S New Ballas RdSaint Louis, MO 63141-8221
Phone 314-251-6339
Mailing address
615 S New Ballas RdSaint Louis, MO 63141-8221
Phone 314-251-6339
Other practice locations
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