Organization
JUAN CARLOS ESCANDON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS ESCANDON M.D. (OWNER)
(314) 996-8830
Entity
Organization
Contact information
Practice address
969 N MASON RD, SUITE 140, SAINT LOUIS, MO 63141-6338
(314) 996-8830
(314) 996-8778
Mailing address
969 N MASON RD, SUITE 140, SAINT LOUIS, MO 63141-6338
(314) 996-8830
(314) 996-8778
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
106346
MO
Other
Enumeration date
09/05/2007
Last updated
12/17/2007
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