Individual
JUAN C GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 N NEW BALLAS RD STE 204, SAINT LOUIS, MO 63141-6836
(314) 991-0137
(314) 991-0603
Mailing address
PO BOX 840185, KANSAS CITY, MO 64184-0185
(314) 991-0137
(314) 991-0603
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R8F89
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202722716
—
MO
Enumeration date
01/20/2006
Last updated
12/21/2023
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