Individual
DR. GARY VLAHOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3009 N BALLAS RD, SUITE 214B, SAINT LOUIS, MO 63131-2322
(314) 996-7888
(314) 996-7885
Mailing address
670 MASON RIDGE CENTER DR, SUITE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7888
(314) 996-7885
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MOR6208
MO
207RI0011X
Interventional Cardiology Physician
Primary
R6208
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241104207
—
MO
Enumeration date
06/12/2006
Last updated
10/08/2013
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