Individual
DR. GRACY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
26 LOG CABIN DR, SAINT LOUIS, MO 63124-1588
(314) 369-3011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R 6019
MO
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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