Individual
DR. ENMANUEL JOSE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROGRESS POINT PKWY, O FALLON, MO 63368-2206
(636) 916-7060
(636) 916-9421
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 916-7060
(636) 916-9421
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2022012209
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061065
—
MO
Enumeration date
06/26/2018
Last updated
04/09/2026
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