Edwardo D Verzola Md Pc

NPI 1043548506 - Internal Medicine - 207RG0100X

NPI Details
NPI 1043548506
Enumeration Date 11/20/2009
Last Updated 11/20/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name EDWARDO D EDWARDO
Position CEO
Phone (636) 937-8675
Fax (636) 933-1981
Practice Location
1004 HERCULANEUM INDUSTRIAL DR
HERCULANEUM MO, 63048-1507, US
Phone (636) 937-8675
Fax (636) 933-1981
Business Location
1004 HERCULANEUM INDUSTRIAL DR
P O BOX 127
HERCULANEUM MO, 63048-1507, US
Phone (636) 937-8675
Fax (636) 933-1981
Toxanomy
Taxonomy Code 207RG0100X
License State Missouri
License Number 2000161966
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According to our database, Edwardo D Verzola Md Pc NPI is 1043548506, taxonomy code is 207RG0100X and license number is 2000161966, license state is located at Missouri. Edwardo D Verzola Md Pc physically located at 1004 Herculaneum Industrial Dr, Herculaneum MO, 63048-1507. NPI Number 1033115704 has the healthcare provider type.

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1043548506 NPI number is provided on an as is basis without warranty of any kind. 1043548506 is maintained by the National Plan & Provider Enumeration System. The contents of Edwardo D Verzola Md Pc are for informational purposes only.