Organization
INFERTILITY & GYNECOLOGIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD PETER WILBOIS M.D. (PRESIDENT & MEDICAL DIRECTOR)
(314) 872-9200
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD, SUITE 359C, SAINT LOUIS, MO 63131-2322
(314) 872-9200
(314) 872-9040
Mailing address
3009 N BALLAS RD, SUITE 359C, SAINT LOUIS, MO 63131-2322
(314) 872-9200
(314) 872-9040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3407
MO
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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