Individual
JOSE MARINO PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
522 N NEW BALLAS RD STE 317, CREVE COEUR, MO 63141-6840
(636) 534-0200
(636) 534-0211
Mailing address
4135 MEXICO RD, SAINT PETERS, MO 63376-6410
(636) 534-0200
(636) 534-0211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2009020188
MO
207Q00000X
Family Medicine Physician
2009020188
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
125-057368
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2009020188
MO
Other
Enumeration date
09/10/2007
Last updated
07/17/2024
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