Individual
JOHN A. SOPUCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 4017-B, SAINT LOUIS, MO 63141-8232
(314) 872-9192
(314) 995-4234
Mailing address
621 S NEW BALLAS RD, SUITE 4017-B, SAINT LOUIS, MO 63141-8232
(314) 872-9192
(314) 995-4234
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29076
MO
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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