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NPI Code Detail

MEDICARE: JESSENIA CHRISTINE GUERRERO M.D.

MEDICARE: JESSENIA CHRISTINE GUERRERO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician2021009741MO
2207ZP0213XPediatric Pathology PhysicianMT217624PA
3207ZP0213XPediatric Pathology Physician2021009741MO

General Provider Information

NPI Number : 1447646021
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSENIA CHRISTINE GUERRERO M.D.
Provider Business Mailing Address
First Line : 1465 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1003
Country : US
Telephone Number : 314-577-5600
Fax Number :
Provider Business Practice Location Address
First Line : 1465 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1003
Country : US
Telephone Number : 314-577-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2015
Last Update Date : 05/22/2025

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