W. Richard Sylvanovich
Gastroenterologist
2821 N Ballas Rd Ste 110
Saint Louis
, Missouri 63131-2314
W. Richard Sylvanovich
Gastroenterologist
2821 N Ballas Rd Ste 110
Saint Louis
, Missouri 63131-2314
(314) 628-9696
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- W. Richard Sylvanovich
- 2821 N Ballas Rd Ste 110
- Saint Louis, MO
- Zip : 63131-2314
- Fax : (314) 628-9696
- Phone : (314) 628-9000
Second Address
- W. Richard Sylvanovich
- 2821 N Ballas Rd Ste 110
- Saint Louis, MO
- Zip : 63131-2314
- Fax : (314) 628-9696
- Phone : (314) 628-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0100X | Gastroenterologist | 036043679 | IL |
| Y | 207RG0100X | Gastroenterologist | 33925 | MO |
National Provider Identifier
| NPI | 1053356840 |
|---|---|
| Provider Name | W. Richard Sylvanovich |
| First Address | Saint Louis, MO 63131-2314 |
| Second Address | Saint Louis, MO 63131-2314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2006 |
| Last Update Date | 31/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A10893 | (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.