Individual
DR. ROQUE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001022822
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205878903
—
MO
Enumeration date
07/26/2006
Last updated
04/04/2024
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