Individual
DR. JESUS CEFERINO CARANDANG PATINO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HOSPITAL DR, DEPT ANESTHESIOLOGY, SAINT PETERS, MO 63376-1659
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2012006522
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209820505
—
MO
Enumeration date
06/17/2007
Last updated
04/17/2025
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