Individual
ADAM M. RALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DES PERES RD, SUITE 310, DES PERES, MO 63131-2050
(314) 821-1313
Mailing address
1000 DES PERES RD, SUITE 310, DES PERES, MO 63131-2050
(314) 821-1313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013027441
MO
390200000X
Student in an Organized Health Care Education/Training Program
4301096219
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01241117
RAILROAD MEDICARE
MO
Enumeration date
05/18/2010
Last updated
01/23/2015
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