Individual
DR. JOHN GAVIN HELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 237-4361
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 237-4361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110172606
RAILROAD MEDICARE
MO
Enumeration date
02/16/2006
Last updated
03/12/2019
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