Individual
DR. MARIO CASTRO
Active
Individual
DR. MARIO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
106692
MO
207R00000X
Internal Medicine Physician
04-42481
KS
207R00000X
Internal Medicine Physician
106692
MO
207RP1001X
Pulmonary Disease Physician
Primary
04-42481
KS
207RP1001X
Pulmonary Disease Physician
106692
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207670506
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/14/2006
Last updated
11/08/2022
Update your record
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