Individual
JAMES CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1598 W MEYER RD, WENTZVILLE, MO 63385-3653
(636) 332-8228
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6C69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201756988
—
MO
Enumeration date
08/09/2006
Last updated
11/04/2020
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