MID-COUNTY UROLOGY INC
Urology at New Ballas Rd, Saint Louis, MO

License number
Missouri R4A96
Category
Radiology
Type
Urology
License number
Missouri 103702
Category
Radiology
Type
Urology
Owner
Name: LEONARD D GAUM MD
Title: OWNER PRESIDENT
Phone: (314) 569-1750
Address
Address
621 S New Ballas Rd SUITE 6011B, Saint Louis, MO 63141
National Provider ID: 1700832367
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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