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Individual

DR. MARIO JOSEPH CARMOSINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-6978
Mailing address
950 COLUMBIA AVE, FAIRVIEW HEIGHTS, IL 62208-3791
(303) 667-1647

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2007013989
MO
207L00000X
Anesthesiology Physician
Primary
48879
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38152789
CO
Enumeration date
07/02/2007
Last updated
08/20/2010
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