Individual
JOHN-PAUL SOBERANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2016011277
MO
207RP1001X
Pulmonary Disease Physician
Primary
2016011277
MO
Other
Enumeration date
04/15/2010
Last updated
04/25/2025
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