Marcy Allen Goldstein M.D.

NPI 1407076607 - General Practice - 208D00000X

NPI Details
NPI 1407076607
Gender Male
Enumeration Date 04/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
845 NORTH NEW BALLAS COURT
STE 300
ST. LOUIS MO, 63141, US
Phone (314) 569-0057
Fax
Business Location
845 N. NEW BALLAS COURT
STE 300
ST. LOUIS MO, 63141, US
Phone (314) 569-0057
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Missouri
License Number 25248
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According to our database, Dr. Marcy Allen Goldstein M.D. NPI is 1407076607, taxonomy code is 208D00000X and license number is 25248, license state is located at Missouri. Marcy Allen Goldstein M.D. physically located at 845 North New Ballas Court, St. Louis MO, 63141. NPI Number Marcy Allen Goldstein M.D. has the Individual type.

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1407076607 NPI number is provided on an as is basis without warranty of any kind. 1407076607 is maintained by the National Plan & Provider Enumeration System. The contents of Marcy Allen Goldstein M.D. are for informational purposes only.