Individual
JUAN MANUEL ALCAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1490
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
320456
NY
208D00000X
General Practice Physician
1992371769
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2021
Last updated
11/25/2024
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