Individual
ELIGIO CORNEJO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 WYCKCLIFFE PL, SAINT LOUIS, MO 63141-8047
(314) 780-4008
Mailing address
110 WYCKCLIFFE PL, SAINT LOUIS, MO 63141-8047
(314) 780-4008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33078
MO
207V00000X
Obstetrics & Gynecology Physician
33078
MO
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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