Individual
DR. ENQUAN GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 RENEE LN, SAINT LOUIS, MO 63141-7642
(314) 933-6142
Mailing address
815 RENEE LN, SAINT LOUIS, MO 63141-7642
(314) 933-6142
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036134609
IL
2084P0800X
Psychiatry Physician
Primary
2014009032
MO
Other
Enumeration date
04/12/2010
Last updated
07/13/2014
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