Individual
PATRICK A CABRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1415 ELBRIDGE PAYNE RD STE 120, CHESTERFIELD, MO 63017-8522
(314) 728-2221
(636) 519-7965
Mailing address
16091 SWINGLEY RIDGE RD STE 100, CHESTERFIELD, MO 63017-2056
(314) 238-5260
(636) 519-7965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.096651
IL
2085R0202X
Diagnostic Radiology Physician
101555
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2850
TN
2085R0202X
Diagnostic Radiology Physician
OS11561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001014013
MO CARE
—
01
—
1068015
CARE PRT
—
01
—
1114948
CARE PRT
—
01
—
1601256
UHC
—
01
—
1601257
UHC
—
01
—
247685977
MO CAID
—
01
—
260132
HEALTHLINK
—
Enumeration date
06/10/2006
Last updated
02/22/2024
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