Individual
DR. JORGE FERNANDO URQUIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3655 VISTA AVENUE, 2ND FLOOR WEST PAVILION, ST. LOUIS, MO 63110
(314) 577-8715
(314) 577-8720
Mailing address
3635 VISTA AVENUE, DEPT OF NEUROSURGERY 5TH FLOOR FDT, ST. LOUIS, MO 63110
(314) 577-8715
(314) 577-8720
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2017022725
MO
Other
Enumeration date
06/19/2017
Last updated
07/31/2017
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