Organization
ST. LOUIS GASTROENTEROLOGY ASSOCIATES, P.C.
Active
Other names
North County Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAYIWOLA CHARLES OLAGBEGI M.D. (PRESIDENT)
(314) 355-5400
Entity
Organization
Contact information
Practice address
2880 NETHERTON DR, SUITE 200, SAINT LOUIS, MO 63136-4649
(314) 355-5400
(314) 355-1177
Mailing address
2880 NETHERTON DR, SUITE 200, SAINT LOUIS, MO 63136-4649
(314) 355-5400
(314) 355-1177
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
114046
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505987008
—
MO
Enumeration date
03/23/2007
Last updated
06/21/2011
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