Individual
DR. GREGORY A EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 362-1291
(314) 454-8855
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 454-8855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R7P09
MO
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
R7P09
MO
207RC0000X
Cardiovascular Disease Physician
R7P09
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206951600
—
MO
Enumeration date
06/15/2006
Last updated
04/17/2025
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