Individual
DR. MARY RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(314) 977-4828
Mailing address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(314) 977-4828
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2009017793
MO
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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