Individual
DR. DERMOND CORTEZ HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12345 W BEND DR STE 300, SAINT LOUIS, MO 63128-2255
(314) 849-6000
(314) 849-1417
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
(314) 851-4445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015026154
MO
Other
Enumeration date
06/24/2013
Last updated
01/04/2024
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