Individual
EDEN M. ESGUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MERCY WAY, SUITE 470, JOPLIN, MO 64804-4524
(417) 556-6813
(417) 556-6849
Mailing address
100 MERCY WAY, SUITE 470, JOPLIN, MO 64804-4524
(417) 556-6813
(417) 556-6849
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
105727
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172270D
—
KS
05
—
1002250000A
—
OK
05
—
207829805
—
MO
01
—
P00817797
RAIL ROAD MEDICARE
MO
Enumeration date
06/04/2006
Last updated
03/17/2016
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