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Individual

DR. ROYAL J EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136-6119
(314) 653-5007
(314) 653-4149
Mailing address
11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136-6119
(314) 653-5007

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MO30472
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200333805
MO
01
CE7661
RR MEDICARE
MO
Enumeration date
11/02/2005
Last updated
05/08/2012
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