Individual
DR. MAURICIO JOSE AVILA GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 617-3420
(314) 617-3430
Mailing address
1008 S SPRING AVE RM 3100, SAINT LOUIS, MO 63110-2520
(146) 173-5463
(314) 617-3430
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2023009168
MO
Other
Enumeration date
03/22/2016
Last updated
08/23/2023
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