Individual
DR. FREDERICK VINCENT COVILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3401 FARAON ST, SAINT JOSEPH, MO 64506-5101
(816) 387-2158
(816) 232-4250
Mailing address
3401 FARAON ST, SAINT JOSEPH, MO 64506-5101
(816) 387-2158
(816) 232-4250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R9069
MO
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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