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Individual

DR. JAMES G AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, DIV IM BONE AND MINERAL, STE 5C, SAINT LOUIS, MO 63110-1032
(314) 454-7775
(314) 996-3087
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-7775
(314) 996-3087

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
102827
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
102827
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206684516
MO
Enumeration date
07/17/2006
Last updated
04/15/2025
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