Individual
W. RICHARD SYLVANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2821 N BALLAS RD STE 110, SAINT LOUIS, MO 63131-2314
(314) 628-9000
(314) 628-9696
Mailing address
2821 N BALLAS RD, STE 110, SAINT LOUIS, MO 63131-2314
(314) 628-9000
(314) 628-9696
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036043679
IL
207RG0100X
Gastroenterology Physician
Primary
33925
MO
Other
Enumeration date
06/17/2006
Last updated
01/03/2024
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