Individual
DR. WILLIAM MARTIN FOGARTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 BLACKMER PL, SAINT LOUIS, MO 63119-3622
(314) 961-2062
Mailing address
275 BLACKMER PL, SAINT LOUIS, MO 63119-3622
(314) 961-2062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002002022
MO
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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