Organization
ESPERANZA M PIMENTEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESPERANZA M PIMENTEL MD (PRESIDENT)
(314) 867-3890
Entity
Organization
Contact information
Practice address
2323 CHAMBERS RD, SAINT LOUIS, MO 63136-5546
(314) 867-3890
(314) 867-2736
Mailing address
2323 CHAMBERS RD, SAINT LOUIS, MO 63136-5546
(314) 867-3890
(314) 867-2736
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
33313
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081155039
RAILROAD MEDICARE
MO
05
—
200230506
—
MO
01
—
21612
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/21/2009
Last updated
07/23/2009
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