Organization
OBSTETRICS AND GYNECOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DONALD BALE M.D. (PRESIDENT)
(314) 567-5016
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 4005, SAINT LOUIS, MO 63141-8232
(314) 567-5016
(314) 567-1846
Mailing address
621 S NEW BALLAS RD, SUITE 4005, SAINT LOUIS, MO 63141-8232
(314) 567-5016
(314) 567-1846
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3252
GROUP HEALTH PLAN
MO
01
—
9559
HEALTHCARE USA
MO
Enumeration date
03/01/2006
Last updated
08/22/2020
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