Individual
MARIA ACOSTA-VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13276 MANCHESTER RD, SAINT LOUIS, MO 63131-1706
(314) 822-9733
(314) 822-9838
Mailing address
13276 MANCHESTER RD, SAINT LOUIS, MO 63131-1706
(314) 822-9733
(314) 822-9838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103865
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103865
STATE BOARD OF REGISTRATION FOR THE HEALING ARTS
MO
Enumeration date
11/06/2015
Last updated
11/06/2015
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