Search › Missouri › 363LA2200X
Daniel Ceballos, AGNP
NPI 1992535330 · on the registry since 2024
Practice
- Address
- 12655 Olive Blvd Fl 4
Saint Louis, MO 63141 - Phone
- (314) 394-7444
- Fax
- (314) 627-8957
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-01
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