Organization
MIDWEST GASTROENTEROLOGY CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGO A VILLARREAL M.D. (PESIDENT/OWNER)
(214) 822-9733
Entity
Organization
Contact information
Practice address
13276 MANCHESTER RD, SAINT LOUIS, MO 63131-1706
(314) 822-9733
Mailing address
13276 MANCHESTER RD, SAINT LOUIS, MO 63131-1706
(314) 822-9733
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
103770
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208254003
—
MO
05
—
463975743
—
IL
Enumeration date
10/22/2007
Last updated
08/22/2014
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