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Individual
DR. JUAN CARLOS CORREA
Active
Individual
DR. JUAN CARLOS CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0437333
KS
208600000X
Surgery Physician
2012012809
MO
2086S0129X
Vascular Surgery Physician
Primary
0437333
KS
2086S0129X
Vascular Surgery Physician
2012012809
MO
390200000X
Student in an Organized Health Care Education/Training Program
BS 5741663
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015710
—
MO
05
—
30004623270001
—
KS
Enumeration date
06/29/2007
Last updated
05/23/2025
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