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Individual

DR. MARIA MAGNOLIA SORIANO ESPEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1303 STATE ST, MOUND CITY, MO 64470-1717
(660) 442-5464
(660) 442-5927
Mailing address
1303 STATE ST, MOUND CITY, MO 64470-1717
(660) 442-5464
(660) 442-5927

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008035883
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1405261053
BNDD
MO
05
1790972495
MO
Enumeration date
09/27/2007
Last updated
03/07/2023
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