Individual
ADAM BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1402 S GRAND BLVD, M260, SAINT LOUIS, MO 63104-1004
(314) 977-9853
Mailing address
236 NE DREAMWEAVER AVE, LEES SUMMIT, MO 64086-5851
(816) 718-1187
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2017010583
MO
Other
Enumeration date
04/29/2013
Last updated
05/23/2019
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