Individual
RICHARD S. GAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12345 W BEND DR, SUITE 302, SAINT LOUIS, MO 63128-2182
(314) 768-0707
(314) 768-0718
Mailing address
601 WASHINGTON AVE, 390, NEWPORT, KY 41071-1986
(859) 291-4800
(859) 291-4801
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
R3L52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00189882
RAILROAD MEDICARE PIN
—
Enumeration date
09/23/2005
Last updated
11/21/2007
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