Individual
DARYL PINEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1297
(660) 885-5511
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1297
(660) 885-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D73346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056119300
—
MD
05
—
1609098110
—
MO
01
—
P01266895
RR MEDICARE
MO
Enumeration date
05/03/2007
Last updated
07/07/2022
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