Individual
JOSE REMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 468-3555
(573) 468-3554
Mailing address
101 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 468-3555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5N92
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598876450
—
MO
05
—
203200506
—
MO
01
—
P00435679
RAILROAD MEDICARE
—
01
—
P01135367
RAILROAD MEDICARE
MO
Enumeration date
08/31/2006
Last updated
08/25/2014
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