Provider Demographics
NPI:1730202029
Name:WELCH, JOHN SUTTON (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SUTTON
Last Name:WELCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8056
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-454-8339
Mailing Address - Fax:314-454-5656
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV IM BONE MARROW TRANSPLANT, 7TH FL
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-454-8339
Practice Address - Fax:314-454-5656
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2007001652207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204519904Medicaid
MO1730202029Medicaid