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Individual

DR. GARY E HIRSHBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6215
(314) 454-2296
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 454-6215
(314) 454-2296

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R5850
MO
207LP3000X
Pediatric Anesthesiology Physician
R5850
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201368933
MO
Enumeration date
07/17/2006
Last updated
01/24/2018
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