Individual
DR. DAVID G MUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV OBGYN GYNECOLOGIC ONCOLOGY, STE 13C, SAINT LOUIS, MO 63110-1032
(314) 362-3181
(314) 362-2893
Mailing address
660 S EUCLID AVE, MSC 8064-37-905, SAINT LOUIS, MO 63110-1010
(314) 362-3181
(314) 362-8644
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
R6B45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202411617
—
MO
Enumeration date
07/18/2006
Last updated
09/28/2023
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