Individual
MR. ENRIQUE PASTRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BOWLES AVE., SUITE 300, FENTON, MO 63026-2387
(636) 496-5030
(636) 496-5035
Mailing address
1011 BOWLES AVE., SUITE 300, FENTON, MO 63122-2387
(636) 496-5030
(636) 496-5035
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R1P02
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208176503
—
MO
Enumeration date
08/24/2005
Last updated
06/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us