Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R7P09 | MO |
N | 111NI0900X | Internist | R7P09 | MO |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | R7P09 | MO |
N | 207RC0000X | Internist - Cardiovascular Disease | R7P09 | MO |
NPI | 1073557401 |
---|---|
Provider Name | Dr. Gregory A Ewald |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
206951600 | (05) | MO |