Individual
ALAN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 CLAYTON ROAD, SSM ST MARYS HEALTH CENTER/ DEPT OF INTERNAL MEDICINE, ST LOUIS, MO 63117-1872
(314) 768-8778
(314) 768-7101
Mailing address
6420 CLAYTON ROAD, SSM ST MARYS HEALTH CENTER/ DEPT OF INTERNAL MEDICINE, ST LOUIS, MO 63117-1872
(314) 768-8778
(314) 768-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010014288
MO
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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