Dr. Randall A Clary
Pediatric Otolaryngology
621 S New Ballas Rd Ste 622a
Saint Louis
, Missouri 63141-8232
Dr. Randall A Clary
Pediatric Otolaryngology
621 S New Ballas Rd Ste 622a
Saint Louis
, Missouri 63141-8232
(314) 872-8399
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Randall A Clary
- 621 S New Ballas Rd Ste 622a
- Saint Louis, MO
- Zip : 63141-8232
- Fax : (314) 872-8399
- Phone : (314) 872-8340
Second Address
- Dr. Randall A Clary
- 621 S New Ballas Rd Ste 622a
- Saint Louis, MO
- Zip : 63141-8232
- Fax : (314) 872-8399
- Phone : (314) 872-8340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 100674 | MO |
National Provider Identifier
| NPI | 1306801600 |
|---|---|
| Provider Name | Dr. Randall A Clary |
| First Address | Saint Louis, MO 63141-8232 |
| Second Address | Saint Louis, MO 63141-8232 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 04/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F35450 | (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.