Individual
DR. GREGORIO TAMBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
615 S. NEW BALLAS ROAD, EMERGENCY ROOM, SAINT LOUIS, MO 63141
(314) 251-6816
Mailing address
111 GAILWOOD DR, ST PETERS, MO 63376-6576
(636) 244-6017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101625
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248017212
—
MO
Enumeration date
12/14/2005
Last updated
09/26/2018
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