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Individual

RICHARD J. GIMPELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
621 S NEW BALLAS RD, SUITE 499 TOWER A, SAINT LOUIS, MO 63141-8232
(314) 251-7650
(314) 251-7651
Mailing address
621 S NEW BALLAS RD, SUITE 499 TOWER A, SAINT LOUIS, MO 63141-8232
(314) 251-7650
(314) 251-7651

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
34996
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3182
BLUE CROSS BLUE SHIELD
MO
Enumeration date
10/28/2005
Last updated
04/26/2011
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