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Individual

DR. ENRICO G ESGUERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115095
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100055990A
OK
05
100172270B
KS
01
115897
ANTHEM
MO
05
2037922
MO
05
203792205
MO
Enumeration date
06/25/2006
Last updated
03/28/2012
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