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JOHN ALLEN THIEL MD

Allergy and Immunology

Saint Louis, Missouri

Provider NPI: 1497755243

Provider Information:
 JOHN ALLEN THIEL MD


Practice Location:
621 S NEW BALLAS RD STE 368 SAINT LOUIS, MO 63141 US
Tel: 314-872-7958  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MO27550

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS OF MISSOURI19042MO01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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