Individual
DR. ENRICO G ESGUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 EAST 34TH ST., #103, JOPLIN, MO 64804
(417) 347-1288
(417) 347-1230
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1288
(417) 347-1230
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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