Individual
PATRICK B MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12266 DE PAUL DR STE 300, BRIDGETON, MO 63044-2562
(314) 291-8824
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2007012223
MO
Other
Enumeration date
05/20/2007
Last updated
11/10/2020
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