Search › Missouri › 207R00000X
Jose Baeza, M.D
NPI 1568628725 · on the registry since 2008
Practice
- Address
- 1402 S Grand Blvd # M260
St. Louis University - Gme
Saint Louis, MO 63104 - Phone
- (314) 577-8762
- Clinicians at this address
- 56
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- MO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri