John P Canale, M.D. Valid NPI

Individual provider · Psychiatry Physician · O Fallon, MO

NPI

1578569620

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

R4A13 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2005-06-23

Last updated

2011-10-31