Individual
JOHN T PARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11155 DUNN RD, STE 312E, SAINT LOUIS, MO 63136-6150
(314) 953-8500
(314) 355-1070
Mailing address
11155 DUNN RD STE 312E, SAINT LOUIS, MO 63136-6111
(314) 953-8500
(314) 355-1070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014024912
MO
2084P0800X
Psychiatry Physician
Primary
2014024912
MO
Other
Enumeration date
06/16/2009
Last updated
03/01/2021
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