Dr. Richard W. Gross, M.D., Ph.D.
Internal Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1104940451
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104940451
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard W. Gross
- Credential
- M.D., Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | R8298 | MO | Yes |
Practice location
660 S Euclid AveCampus Box 8020
Saint Louis, MO 63110-1010
Phone 314-362-2690 · Fax 314-362-1402
Mailing address
660 S Euclid AveCampus Box 8020
Saint Louis, MO 63110-1010
Phone 314-362-2690 · Fax 314-362-1402
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