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Individual

DR. BLAINE MICHAEL SAYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4055 LINDELL BLVD, SAINT LOUIS, MO 63108-3201
(314) 535-1422
(314) 535-0207
Mailing address
4055 LINDELL BLVD, SAINT LOUIS, MO 63108-3201
(314) 535-1422
(314) 535-0207

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31794
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200530921
MO
Enumeration date
11/20/2006
Last updated
07/09/2007
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