Individual
DR. NOAM GRYSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(314) 977-4828
(314) 977-4876
Mailing address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(314) 617-2777
(314) 617-2779
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2020031778
MO
2084P0800X
Psychiatry Physician
MD22897
HI
2084P0805X
Geriatric Psychiatry Physician
Primary
2020031778
MO
Other
Enumeration date
06/30/2017
Last updated
08/21/2024
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