MEDICARE: DR. WILLIAM ARTHUE GAY JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	108622	MO

General Provider Information

NPI Number	:	1609131879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ARTHUE GAY JR. M.D.

Provider Business Mailing Address
First Line	:	1 BARNES JEWISH HOSPITAL PLZ
Second Line	:	SUITE 3108 QUEENY TOWER
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1003
Country	:	US
Telephone Number	:	314-747-1315
Fax Number	:	314-367-8459

Provider Business Practice Location Address
First Line	:	1 BARNES JEWISH HOSPITAL PLZ
Second Line	:	SUITE 3108 QUEENY TOWER
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1003
Country	:	US
Telephone Number	:	314-747-1315
Fax Number	:	314-367-8459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2012
Last Update Date	:	07/12/2012

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