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Organization

COSME R CAGAS, MD

Active
Other names
cosmelito r cagas, md
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COSME RALOTA CAGAS II MD (OWNER)
(618) 398-6308
Entity
Organization

Contact information

Practice address
1 BUNKUM WOODS DR, FAIRVIEW HEIGHTS, IL 62208-1008
(618) 398-6308
Mailing address
1 BUNKUM WOODS DR, FAIRVIEW HEIGHTS, IL 62208-1008
(618) 398-6308

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036052410
IL

Other

Enumeration date
06/13/2016
Last updated
06/13/2016
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