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Individual

MICHAEL JAMES PADGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 362-5000
Mailing address
4227 MCPHERSON AVE, SAINT LOUIS, MO 63108-2907

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2024022223
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
FL

Other

Enumeration date
03/21/2023
Last updated
07/04/2024
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