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Organization

THOMAS R WHALEN MD LLC

Active
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Organization

THOMAS R WHALEN MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY ELLIOTT (ACCOUNT MANAGER)
(314) 878-0163
Entity
Organization

Contact information

Practice address
621 S NEW BALLAS RD, TOWER A SUITE 537, SAINT LOUIS, MO 63141-8232
(314) 336-9141
(314) 336-9148
Mailing address
621 S NEW BALLAS RD, TOWER A SUITE 537, SAINT LOUIS, MO 63141-8232
(314) 336-9141
(314) 336-9148

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
101052
MO

Other

Enumeration date
08/21/2008
Last updated
08/21/2008
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