Individual
DR. DAVID BENJAMIN GOOTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 CHILDRENS PL MSC 8208-0016-06, SAINT LOUIS, MO 63110-1081
(314) 454-6050
(855) 887-7850
Mailing address
1 CHILDRENS PL MSC 8208-0016-06, SAINT LOUIS, MO 63110-1081
(314) 454-6050
(855) 887-7850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024015942
MO
208000000X
Pediatrics Physician
289265
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
05/29/2024
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