Evolution Md, LLC
NPI #1699425314 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1699425314
- Entity Type
- Organization
- Organization Name
- Evolution Md, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 25, 2022
- Last Updated
- Apr 11, 2022
Practice Location
- Address
- 522 N NEW BALLAS RD STE 317
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6840
- Phone
- (636) 534-0200
Authorized Official
- Name
- JOSE MARINO PARRA, MD
- Title
- OWNER
- Phone
- (636) 534-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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