Individual
PEDRO C PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
20 MANOR DR, TROY, MO 63379-0267
(636) 528-6844
(636) 462-2809
Mailing address
20 MANOR DR, PO BOX 267, TROY, MO 63379-2044
(636) 528-6844
(636) 462-2809
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35762
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000317
NHC BENEFIT
—
01
—
101073
HEALTHLINK
—
01
—
11548
ESSENCE
—
01
—
12076745
MULTI-PLAN
—
01
—
12731
GROUP HEALTH PLAN
—
05
—
201214509
—
MO
01
—
25125
CARPENTERS
—
01
—
412131784
COMMERCIAL
—
01
—
4397518
AETNA
—
01
—
4906THFR
BLUE SHIELD KC
—
01
—
7896
BLUE SHIELD
—
01
—
826343353A
RAILROAD
—
01
—
A90852
MERCY
—
01
—
BLC0071180001
BLUE CHOICE
—
01
—
BLC007118002
BLUE CHOICE
—
Enumeration date
09/12/2005
Last updated
10/19/2011
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