Dr. Gary Stephen Gottesman
Internist Pediatrician Clinical Genetics (M.D.) Endocrinologist (Diabetes Doctor)
1 Childrens Pl Div Ped Endocrinology And Diabetes
Saint Louis
, Missouri 63110-1002
Dr. Gary Stephen Gottesman
Internist Pediatrician Clinical Genetics (M.D.) Endocrinologist (Diabetes Doctor)
1 Childrens Pl Div Ped Endocrinology And Diabetes
Saint Louis
, Missouri 63110-1002
(314) 454-6051
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About
Features
Specialties
- Internist
- Endocrinologist (Diabetes Doctor)
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Gary Stephen Gottesman
- 1 Childrens Pl Msc 8515-87-1200
- Saint Louis, MO
- Zip : 63110-1002
- Fax : (314) 454-6051
- Phone : (314) 454-6095
Second Address
- Dr. Gary Stephen Gottesman
- 1 Childrens Pl Div Ped Endocrinology And Diabetes
- Saint Louis, MO
- Zip : 63110-1002
- Fax : (314) 454-6225
- Phone : (314) 454-6051
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | R6P15 | MO |
| N | 111NI0900X | Internist | R6P15 | MO |
| N | 207RE0101X | Endocrinologist (Diabetes Doctor) | R6P15 | MO |
| Y | 207SG0201X | Clinical Genetics (M.D.) | R6P15 | MO |
| N | 208000000X | Pediatrician | R6P15 | MO |
National Provider Identifier
| NPI | 1447269444 |
|---|---|
| Provider Name | Dr. Gary Stephen Gottesman |
| First Address | Saint Louis, MO 63110-1002 |
| Second Address | Saint Louis, MO 63110-1002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 08/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 207929712 | (05) | MO |
| 408010823 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.