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Individual

EGBERTO TORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
126 MISSOURI AVE, ATTN: MCXP-CCS-CR (CREDENTIALS), FORT LEONARD WOOD, MO 65473-8952
(573) 596-0417
(573) 596-0524
Mailing address
108 BEACON POINT CT, JOPPA, MD 21085-4533
(443) 928-8759

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D30468
MD

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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