Individual
JAVIER AUGUSTO BLANCO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 364-1408
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-1408
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2024011051
MO
Other
Enumeration date
08/28/2019
Last updated
06/25/2024
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