Individual
MR. ETAI GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12855 N. FORTY DR., STE 375, ST. LOUIS, MO 63141
(314) 567-6071
Mailing address
12855 N. FORTY DR., STE 375, ST. LOUIS, MO 63141
(314) 567-6071
(314) 567-3321
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036133097
IL
208800000X
Urology Physician
Primary
2013013914
MO
Other
Enumeration date
08/06/2007
Last updated
12/01/2021
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