Individual
ANDREW S GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-4545
Mailing address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R4C51
MO
207R00000X
Internal Medicine Physician
Primary
R4N51
MO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
R4N51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207883216
—
MO
Enumeration date
07/16/2006
Last updated
02/11/2021
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