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
Phone: (314) 251-6710
Fax: (314) 251-6712
Website:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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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