Individual
MR. PAUL JAMES GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 KENNERLY RD, STE 330A, SAINT LOUIS, MO 63128-2175
(314) 543-5963
(314) 525-4323
Mailing address
10004 KENNERLY RD, STE 330A, ST LOUIS, MO 63128-2175
(314) 543-5963
(314) 525-4323
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
33400
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200768109
—
MO
Enumeration date
09/12/2006
Last updated
02/05/2010
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