Individual
MARIO PATINO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12266 DE PAUL DR STE 210, BRIDGETON, MO 63044-2514
(314) 344-6800
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T2005026870
MO
Other
Enumeration date
09/20/2006
Last updated
10/23/2020
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