Individual
DR. PATRICK M D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2010017700
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427260165
—
MO
Enumeration date
05/04/2007
Last updated
02/13/2012
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