Theodore G. Sample Jr., MD
Theodore G. Sample Jr., MD is a Pediatrics Physician in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
621 S New Ballas Rd Ste 6009-BSt. Louis, MO 63141
Phone: (314) 251-6598
Fax: (314) 251-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 112824 (MO) |
|---|
Record details
| NPI number | 1922191584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 621 S. New Ballas Road, Suite 6009-B, St. Louis, MO 63141 |
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