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Individual

JOHN D MCGARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
168 INDUSTRIAL DR, MEDICAL VILLAGE ANNEX BUILDING, FESTUS, MO 63028-4133
(636) 937-0005
(636) 933-9494
Mailing address
P O BOX 470, CRYSTAL CITY, MO 63019-0470
(636) 937-0005
(636) 933-9494

Taxonomy

Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
35835
MO
2084N0400X
Neurology Physician
Primary
35835
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500010
UNITED HEALTHCARE
MO
01
116562
HEALTHLINK
MO
01
130001044
RAILROAD MEDICARE
MO
05
200427128
MO
01
3008
BLUE SHIELD
MO
01
4311996
AETNA
MO
Enumeration date
06/16/2005
Last updated
02/05/2014
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