Individual
DR. RICHARD G BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 362-1291
(314) 747-1417
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 747-1417
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
R6P81
MO
207RI0011X
Interventional Cardiology Physician
Primary
R6P81
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203086822
—
MO
Enumeration date
07/17/2006
Last updated
04/15/2025
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