Individual
ENRIQUE VILLAVICENCIO SUMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 PLAZA DR STE 102, SIKESTON, MO 63801-5148
(573) 471-6010
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R75314
AZ
Other
Enumeration date
07/07/2015
Last updated
07/29/2021
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