Avila Guerra, Mauricio Jose
Avila Guerra, Mauricio Jose is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Avila Guerra, Mauricio Jose can be contacted via phone (314) 617-3420.Contact Information
Primary practice address
1201 S Grand Blvd
Saint Louis MO 63104-1016
Phone: (314) 617-3420
Fax: (314) 617-3430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 2023009168 | Missouri |
Profile Details
| NPI number | 1487016390 |
|---|---|
| LBN Legal business name | Avila Guerra, Mauricio Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2016 |
| Last updated | Aug 23rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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