Individual
RICHARD G MRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 317-0600
(314) 317-0606
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3G47
MO
208M00000X
Hospitalist Physician
R3G47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972573715
—
MO
Enumeration date
01/24/2006
Last updated
06/13/2012
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