Individual
PEDRO SUAREZ SOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Mailing address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
104419
MO
208M00000X
Hospitalist Physician
104419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194798033
—
IL
05
—
208175034
—
MO
Enumeration date
02/10/2006
Last updated
03/15/2017
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