Provider Demographics
NPI:1801637418
Name:MCGEE, FRED GUS III
Entity type:Individual
Prefix:
First Name:FRED
Middle Name:GUS
Last Name:MCGEE
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W RIPA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-2716
Mailing Address - Country:US
Mailing Address - Phone:314-804-9611
Mailing Address - Fax:
Practice Address - Street 1:117 W RIPA AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-2716
Practice Address - Country:US
Practice Address - Phone:314-804-9611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker