Individual
JULIO CESAR MARIN CONCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-0605
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
2022014689
MO
2085R0202X
Diagnostic Radiology Physician
4351047362
MI
Other
Enumeration date
04/16/2021
Last updated
06/27/2022
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