Individual
DALE FURUKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 COUCH AVE, SUITE 245, SAINT LOUIS, MO 63122-5568
(314) 965-5868
(314) 965-0713
Mailing address
7980 CLAYTON RD, SUITE 202, SAINT LOUIS, MO 63117-1354
(314) 951-5368
(314) 951-5238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7P40
MO
Other
Enumeration date
07/24/2006
Last updated
01/28/2008
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