Gouge, Tyler James

Gouge, Tyler James is an individual health care provider with primary practice located at 701 S New Ballas Rd Ste 510 , Saint Louis MO 63141-8726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gouge, Tyler James can be contacted via phone (314) 251-6710.

Contact Information

Primary practice address
701 S New Ballas Rd Ste 510 Saint Louis MO 63141-8726
Fax: (314) 251-6712
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2020020734 Missouri

Profile Details

NPI number 1275062432
LBN Legal business name Gouge, Tyler James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2017
Last updated Dec 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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