Provider Demographics
NPI:1366439283
Name:SINGER, GARY G (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:G
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:70 JUNGERMANN CIR STE 302
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1637
Mailing Address - Country:US
Mailing Address - Phone:636-720-0310
Mailing Address - Fax:636-720-0311
Practice Address - Street 1:70 JUNGERMANN CIR STE 302
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1637
Practice Address - Country:US
Practice Address - Phone:636-720-0310
Practice Address - Fax:636-720-0311
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2022-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO108436207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208058230Medicaid
G17088Medicare UPIN
MO208058230Medicaid