Individual
DR. GEORGE A LODOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HOSPITAL DR, DEPT ANESTHESIOLOGY, SAINT PETERS, MO 63376-1659
(800) 862-9980
(314) 362-1185
Mailing address
660 S EUCLID AVE, CB 8054, SAINT LOUIS, MO 63110-1010
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R4G76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205805203
—
MO
Enumeration date
08/19/2005
Last updated
11/15/2021
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