Individual
GREGORY P. MCLENNAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 S. NEW BALLAS ROAD, SUITE 330, SAINT LOUIS, MO 63141
(314) 251-8850
Mailing address
701 S. NEW BALLAS ROAD, SUITE 330, SAINT LOUIS, MO 63141
(314) 251-8850
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2014009247
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912160052
—
MO
01
—
P01366917
RAILROAD MEDICARE
MO
Enumeration date
07/09/2008
Last updated
07/13/2023
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