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Organization

JOHN M LAIRD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M LAIRD JR. MD (INTERNAL MEDICINE PHYSICIAN)
(314) 872-3620
Entity
Organization

Contact information

Practice address
3009 N BALLAS ROAD, SUITE 230A, ST LOUIS, MO 63131-2322
(314) 872-3620
(314) 872-9003
Mailing address
3009 N BALLAS ROAD, SUITE 230A, ST LOUIS, MO 63131-2322
(314) 872-3620
(314) 872-9003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M028214
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000015664
MEDICARE PTAN
MO
01
100848
HEALTHLINK
MO
01
110234947
RAILROAD MEDICARE
MO
Enumeration date
03/29/2007
Last updated
01/07/2010
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