Individual
DR. JUAN CARLOS CORVALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JEFFERSON BARRACKS RD, VAMC-ST.LOUIS, SAINT LOUIS, MO 63125-4181
(314) 894-6639
Mailing address
1 JEFFERSON BARRACKS RD, VAMC-ST. LOUIS, SAINT LOUIS, MO 63125-4181
(314) 894-6639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33077
MO
2084P0800X
Psychiatry Physician
90-26
NM
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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