Individual provider · Type 1 NPI

Jerome Valentine Dwyer, MD

Specialist · St. Louis, MO

NPI number 1477515047 Active

Practice location

3009 N Ballas Rd, Suite 202B
St. Louis, MO 63131-2322

Call (314) 995-6839 Map

Fax (314) 995-6883

Mailing address

451 Hammersmith Rd
St. Louis, MO 63141-8603

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1477515047

Jerome Valentine Dwyer, MD's National Provider Identifier is 1477515047, issued on Apr 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 29, 2011.