Individual
GREGORY CIZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9930 WATSON RD, SAINT LOUIS, MO 63126-1827
(314) 984-8827
(314) 984-0736
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 984-8827
(314) 984-0736
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
105428
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010591
ESSENCE
MO
01
—
110069
GHP
MO
01
—
144352
BCBS
MO
01
—
1600300
UHC
MO
05
—
208265116
—
MO
01
—
288546
HEALTHLINK
MO
01
—
5872678
AETNA
MO
01
—
F82310
MERCY
MO
Enumeration date
11/03/2005
Last updated
09/21/2012
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