Organization
CLAYTON ENDOCRINOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA ROFOUGARAN M.D. (DIRECTOR)
(314) 875-0380
Entity
Organization
Contact information
Practice address
1423 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2203
(314) 875-0380
(314) 875-0382
Mailing address
1423 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2203
(314) 875-0380
(314) 875-0382
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
101819
MO
Other
Enumeration date
12/05/2006
Last updated
06/10/2012
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