Individual
JOSEPH ROLAND DIANO ESPIRITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
3660 VISTA, ST. LOUIS, MO 63110
(314) 577-8856
(314) 577-8859
Mailing address
3691 RUTGER ST., PROVIDER ENROLLMENT, ST. LOUIS, MO 63110
(314) 977-6828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
103185
MO
207RP1001X
Pulmonary Disease Physician
103185
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
103185
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091620
—
IL
05
—
207217605
—
MO
Enumeration date
10/05/2006
Last updated
02/28/2020
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