Individual
DR. IVAN COVAS-MALDONADO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(877) 685-9866
Mailing address
HORNILLOS 18, ESTEPA, SEVILLE 41560
34955912928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24823
WA
Other
Enumeration date
02/01/2006
Last updated
07/21/2022
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