# NEW BALLAS OB/GYN, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174795470
- **Authorized official:** DAVID L GEARHART MD (PRESIDENT)
- **Authorized official phone:** (314) 569-1223

## Contact information

- **Practice address:** 522 N NEW BALLAS RD STE 201, CREVE COEUR, MO 63141-6819
- **Practice address phone:** (314) 569-1223
- **Practice address fax:** (314) 569-1150
- **Mailing address:** 522 N NEW BALLAS RD STE 201, CREVE COEUR, MO 63141-6819
- **Mailing address phone:** (314) 569-1223
- **Mailing address fax:** (314) 569-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/26/2008