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Individual

EDGAR E GALICIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036136966
IL
207R00000X
Internal Medicine Physician
Primary
2010024108
MO
207R00000X
Internal Medicine Physician
ME 100924
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/03/2006
Last updated
10/11/2023
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