Individual
DR. JULIAN N VERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 N NEW BALLAS RD, STE. 250, SAINT LOUIS, MO 63141-6835
(314) 567-4449
(314) 567-0762
Mailing address
PO BOX 1279, ARNOLD, MO 63010-7279
(696) 282-0184
(696) 282-9852
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
28654
MO
2085R0202X
Diagnostic Radiology Physician
Primary
28654
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600026
UNITED HEALTHCARE
—
01
—
1600137
UNITED HEALTHCARE
—
01
—
1600141
UNITED HEALTHCARE
—
01
—
1600278
UNITED HEALTHCARE
—
Enumeration date
09/02/2005
Last updated
01/07/2008
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