Organization
PATRICK MCDONOUGH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK B MCDONOUGH MD (PRESIDENT)
(314) 291-8824
Entity
Organization
Contact information
Practice address
12266 DE PAUL DR STE 300, BRIDGETON, MO 63044-2562
(314) 291-8824
(314) 291-2663
Mailing address
12266 DE PAUL DR STE 300, BRIDGETON, MO 63044-2562
(314) 291-8824
(314) 291-2663
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2007012223
MO
Other
Enumeration date
03/18/2009
Last updated
09/01/2009
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