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Individual

DR. JOSE ROBERTO PERAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(636) 288-6494
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024024977
MO

Other

Enumeration date
07/19/2024
Last updated
07/19/2024
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