Organization
J MARIO V ALONSO JR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F ALONSO M.D. (PRESIDENT)
(314) 487-3155
Entity
Organization
Contact information
Practice address
2716 TELEGRAPH RD, SUITE 105, SAINT LOUIS, MO 63125-4078
(314) 487-3155
Mailing address
2716 TELEGRAPH RD, SUITE 105, SAINT LOUIS, MO 63125-4078
(314) 487-3155
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
106036
MO
Other
Enumeration date
10/03/2006
Last updated
01/04/2012
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