Individual
GORDON B GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1465 S GRAND BLVD, ST. LOUIS, MO 63104-1003
(314) 268-4101
(314) 577-5379
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST. LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6872
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
R7849
MO
Other
Enumeration date
09/12/2006
Last updated
08/26/2015
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