Enrique Pastrana, M.d., P.c

NPI #1841419827 in Fenton, Missouri

Provider Information

NPI Number: 1841419827
Entity Type: Organization
Organization Name: Enrique Pastrana, M.d., P.c
Primary Specialty: Surgery
Enumeration Date: Apr 25, 2007
Last Updated: May 1, 2009

Practice Location

Address: 1011 BOWLES AVE.
Address 2: SUITE 300
City: Fenton
State: Missouri
ZIP Code: 63026-2387
Phone: (636) 496-5030

Authorized Official

Name: MR. ENRIQUE PASTRANA, M.D.
Title: PRESIDENT , OWNER
Phone: (636) 496-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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