Individual
DR. GEORGE A MACONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE STE 710, STE 710, SAINT LOUIS, MO 63108-1402
(314) 454-8181
(314) 747-1429
Mailing address
660 S EUCLID AVE, C B 8064, SAINT LOUIS, MO 63110-1010
(314) 454-8181
(314) 884-6007
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2005039932
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073033405
—
MO
05
—
ENROLLED
—
IL
Enumeration date
05/24/2005
Last updated
11/27/2023
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