Individual
MANUEL LARGAESPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 INDIAN LAKE DR, WRIGHT CITY, MO 63390-2953
(636) 745-8371
Mailing address
612 INDIAN LAKE DR, WRIGHT CITY, MO 63390-2953
(636) 745-8371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
105210
MO
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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