Individual
DR. JAMES ROBERT ETZKORN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2821 N BALLAS RD, SAINT LOUIS, MO 63131-2321
(314) 995-9718
(314) 995-7196
Mailing address
2821 N BALLAS RD, SAINT LOUIS, MO 63131-2321
(314) 995-9718
(314) 995-7196
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R5648
MO
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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