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Individual

DR. JONATHAN SADLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8750
Mailing address
1445 S 18TH ST APT 217, SAINT LOUIS, MO 63104-2562

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.28800
AL
390200000X
Student in an Organized Health Care Education/Training Program
2005020368
MO

Other

Enumeration date
06/29/2007
Last updated
06/15/2009
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