Individual
DR. GARY J WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 747-3000
(314) 747-4511
Mailing address
660 S EUCLID AVE, C B 8051, SAINT LOUIS, MO 63110-1010
(314) 747-3000
(314) 747-4511
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
R5B45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256010183
—
MO
Enumeration date
07/17/2006
Last updated
11/20/2012
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