Individual
THOMAS PAUL EBERLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(502) 624-9007
(502) 624-0252
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(270) 360-1005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01054678A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200885150
—
IN
05
—
7100046060
—
KY
Enumeration date
01/04/2006
Last updated
12/09/2025
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