Individual
DR. DAVID A GORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12634 OLIVE BLVD, DIV IM GASTROENTEROLOGY, SAINT LOUIS, MO 63141-6337
(314) 747-2066
(314) 878-3022
Mailing address
660 S EUCLID AVE, CB 8124, SAINT LOUIS, MO 63110-1010
(314) 747-2075
(314) 454-5042
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R7799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201851128
—
MO
Enumeration date
08/30/2006
Last updated
11/15/2021
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