Moreno, Ismael Perez

Moreno, Ismael Perez is an individual health care provider with primary practice located at 3635 Vista At Grand Desloge Towers, 2Nd Floor, St. Louis MO 63110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Moreno, Ismael Perez can be contacted via phone (314) 268-5782.

Contact Information

Primary practice address
3635 Vista At Grand Desloge Towers, 2Nd Floor St. Louis MO 63110
Phone: (314) 268-5782
Fax: (314) 268-5116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MT 184060 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C7-0004180 Delaware
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 2013030321 Missouri
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A117180 California

Profile Details

NPI number 1679716278
LBN Legal business name Moreno, Ismael Perez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Feb 12th, 2020 - about 4 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.

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