Individual
JAMES J LAGUARDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1723 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4566
(573) 331-7840
(573) 331-7849
Mailing address
1723 BROADWAY ST, SUITE 310, CAPE GIRARDEAU, MO 63701-4566
(573) 331-7840
(573) 331-7849
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01066417A
IN
2084N0400X
Neurology Physician
036093727
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093727
—
IL
01
—
P00739574
RAILROAD MEDICARE
IN
01
—
P00834681
RAILROAD MEDICARE
IN
Enumeration date
11/07/2005
Last updated
05/28/2015
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