Individual provider · Type 1 NPI

Gershom Norfleet

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1346445970 Active

Practice location

1402 S Grand Blvd
St. Louis, MO 63104-1004

Call (314) 577-8782 Map

Mailing address

1110 E Parkedge Ln
St. Louis, MO 63130-2231

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2006006978 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346445970

Gershom Norfleet's National Provider Identifier is 1346445970, issued on Jun 14, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.