Individual
DR. LEONARD RAY GOLDFARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, VA MEDICAL CENTER, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
11515 CRAIG CT, APT. 431, SAINT LOUIS, MO 63146-5293
(314) 989-9144
(314) 289-6533
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
2004030335
MO
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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