Individual
DR. GERALD L ANDRIOLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C, SAINT LOUIS, MO 63110-1032
(314) 362-8200
(314) 454-5244
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D30346
MD
208800000X
Urology Physician
R8E23
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202124103
—
MO
01
—
D30346
MD LICENSE
MD
Enumeration date
07/17/2006
Last updated
03/09/2022
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