Individual
MR. DANTE O GARRIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12963 WALNUTWAY TER, SAINT LOUIS, MO 63146-6047
(314) 878-4312
Mailing address
12963 WALNUTWAY TER, SAINT LOUIS, MO 63146-6047
(314) 878-4312
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R8998
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500083
UNITEDHEALTHCARE
MO
05
—
200742831
—
MO
01
—
5424
BLUE CROSS/BLUE SHIELD
MO
Enumeration date
06/12/2006
Last updated
02/20/2008
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