Individual
DR. MICHAEL T RAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6125 CLAYTON AVE, STE 222, SAINT LOUIS, MO 63139-3265
(314) 768-3685
(314) 768-3940
Mailing address
6125 CLAYTON AVE, STE 222, SAINT LOUIS, MO 63139-3265
(314) 768-3204
(314) 768-3940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9336
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201072873
—
MO
Enumeration date
05/19/2006
Last updated
04/12/2011
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