Search › Missouri › 183500000X
Gregory Mudd
NPI 1205107778 · on the registry since 2012
Practice
- Address
- 630 N Mcknight Rd
Saint Louis, MO 63132 - Phone
- (314) 991-3402
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- MO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri