Individual
MS. GUADALUPE SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 JUNGERMANN CIR, SUITE 203, ST PETERS, MO 63376-1622
(636) 447-5197
(636) 928-0994
Mailing address
70 JUNGERMANN CIR, #203, FAMILY DERMATOLOGY CENTER LC, ST PETERS, MO 63376-1622
(636) 447-5197
(636) 928-0994
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R7D23
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001270
RAILROAD MEDICARE
—
01
—
180467
HEALTHLINK
—
05
—
202216016
—
MO
01
—
7588
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/11/2005
Last updated
08/20/2015
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