Individual
DR. JUAN O CARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11125 DUNN RD, SUITE 108, SAINT LOUIS, MO 63136-6132
(314) 355-8200
(314) 355-4582
Mailing address
11125 DUNN RD, SUITE 108, SAINT LOUIS, MO 63136-6132
(314) 355-8200
(314) 355-4582
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD34924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201892601
—
MO
Enumeration date
07/07/2006
Last updated
07/08/2007
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