Individual
CHRISTIAN G CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 VISTA AVE, ST LOUIS, MO 63110
(314) 977-6100
(314) 977-6164
Mailing address
1402 S. GRAND FDT 14, ST LOUIS, MO 63104
(314) 577-8762
(314) 577-8100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020009352
MO
207R00000X
Internal Medicine Physician
DR.0064002
CO
208M00000X
Hospitalist Physician
036151949
IL
208M00000X
Hospitalist Physician
Primary
2020009352
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
10/04/2022
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