Individual
DR. ENRIQUE ANDRES YESPICA OTAOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5634
(314) 268-4019
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5634
(314) 268-4019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2022019664
MO
Other
Enumeration date
07/11/2022
Last updated
05/24/2025
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