IndividualActive
Randall Clary, MD
NPI 1306801600 · Pediatric Otolaryngology Physician · Saint Louis, MO
Provider details
- NPI number
- 1306801600
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 100674 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
621 S New Ballas Rd
Ste 622a
Saint Louis, MO 63141-8232
Phone: (314) 872-8340
Fax: (314) 872-8399
Approximate (ZIP-level) locationGet directions
Mailing address
621 S New Ballas Rd
Saint Louis, MO 63141-8232
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2011-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.