Individual provider · Type 1 NPI

Leonard E. Grosso, MD PHD

Immunopathology Physician · St. Louis, MO

NPI number 1548280969 Active

Practice location

1402 S Grand
St. Louis, MO 63110

Fax (314) 268-5478

Mailing address

3691 Rutger Ave, Provider Enrollment
St. Louis, MO 63110

Specialties and licenses

TaxonomyCodeLicense
Immunopathology Physician Primary 207ZI0100XR6J66 (MO)
Molecular Genetic Pathology (Pathology) Physician 207ZP0007XR6J66 (MO)

Immunopathology Physician: A pathologist who specializes in the diagnosis of immunologic diseases.

4 other providers at this address

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About NPI 1548280969

Leonard E. Grosso, MD PHD's National Provider Identifier is 1548280969, issued on Jul 20, 2006. The primary taxonomy on file is Immunopathology Physician (207ZI0100X), and the practice location is in St. Louis, MO. The record was last updated on Mar 18, 2008.