Garcia Villegas, Gonzalo Mauricio

Garcia Villegas, Gonzalo Mauricio is an sole proprietor health care provider with primary practice located at 6420 Clayton Rd , Richmond Heights MO 63117-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Garcia Villegas, Gonzalo Mauricio can be contacted via phone (314) 768-8778.

Contact Information

Primary practice address
6420 Clayton Rd Richmond Heights MO 63117-1811
Phone: (314) 768-8778
Fax: (314) 464-2278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2022020057 Missouri

Profile Details

NPI number 1548903933
LBN Legal business name Garcia Villegas, Gonzalo Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2022
Last updated Jul 18th, 2022 - about 3 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548903933 NPPES
Missouri MEDICAID 200110389

Popular Providers