Individual provider · Type 1 NPI

Jordan Michael Gutovich, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1154756955 Active

Practice location

3015 N Ballas Rd, Dept Radiology
St. Louis, MO 63131-2329

Call (314) 996-5170 Map

Fax (314) 996-4261

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2019008075 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1154756955

Jordan Michael Gutovich, MD's National Provider Identifier is 1154756955, issued on Sep 11, 2013. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.