Provider Demographics
NPI:1275868846
Name:GONDIM, FRANCISCO A (MD, MSC, PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:A
Last Name:GONDIM
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Gender:M
Credentials:MD, MSC, PHD
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Mailing Address - Street 1:1438 S GRAND BLVD
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGY & PSYCHIATRY
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1027
Mailing Address - Country:US
Mailing Address - Phone:314-977-4849
Mailing Address - Fax:314-977-4876
Practice Address - Street 1:AVENIDA RUI BARBOSA, 748
Practice Address - Street 2:AP 1100
Practice Address - City:FORTALEZA
Practice Address - State:CEARA
Practice Address - Zip Code:60115220
Practice Address - Country:BR
Practice Address - Phone:01155853-224-3974
Practice Address - Fax:01155853-366-8333
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOMO20020032812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology