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NPI Code Detail

MEDICARE: DR. CARLOS ALFONSO QUILALA SANTOS MD

MEDICARE:  DR. CARLOS ALFONSO QUILALA SANTOS  MD
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
1207RI0200XInfectious Disease Physician2009001296MO

General Provider Information

NPI Number : 1023299393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS ALFONSO QUILALA SANTOS MD
Provider Business Mailing Address
First Line : 660 S EUCLID AVE
Second Line : C B 8051
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 314-996-3281
Fax Number : 314-996-3195
Provider Business Practice Location Address
First Line : 10 BARNES WEST DR
Second Line : POB 2 STE 200
City : SAINT LOUIS
State : MO
Zip : 63141-6350
Country : US
Telephone Number : 314-747-2066
Fax Number : 314-747-1277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2007
Last Update Date : 10/27/2015

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Directions to “ DR. CARLOS ALFONSO QUILALA SANTOS MD” Practice Location

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