| Leonard E Grosso, MD PHD | |
|
1402 S Grand, St Louis, MO 63110 | |
| (314) 577-8693 | |
| (314) 268-5478 |
| Full Name | Leonard E Grosso |
|---|---|
| Gender | Male |
| Speciality | Pathology - Immunopathology |
| Location | 1402 S Grand, St Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548280969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZI0100X | Pathology - Immunopathology | R6J66 (Missouri) | Primary |
| 207ZP0007X | Pathology - Molecular Genetic Pathology | R6J66 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard E Grosso, MD PHD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | Leonard E Grosso, MD PHD 1402 S Grand, St Louis, MO 63110 Ph: (314) 577-8693 |
Nancy J Phillips, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 | |
William Henry Boyce, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, St Louis, MO 63122 Phone: 314-721-1531 Fax: 314-822-6316 | |
Stephen E Godfrey, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10010 Kennerly Road, St Louis, MO 63128 Phone: 314-525-4345 Fax: 314-525-4354 | |
Edward Stephen Bolesta, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1402 S Grand, St Louis, MO 63104 Phone: 314-577-8000 | |
Richard G Hoover, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 | |
Michael A Graham, Pathology Medicare: Medicare Enrolled Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 |