person
Dr. Gabriel Cardenas JR., DPM
Foot & Ankle Surgery Podiatrist in Maryville, Illinois
NPI 1043521719

Gabriel Cardenas JR. is a Foot & Ankle Surgery Podiatrist based in House Springs, IL and is specialized in Foot & Ankle Surgery. Gabriel Cardenas JR. practices in Maryville, IL and has the professional credentials of DPM. The NPI Number for Gabriel Cardenas JR. is 1043521719 and holds a License No. 2010021578 (Illinois).

The current practice location address for Gabriel Cardenas JR. is 6810 State Route 162, Maryville, IL and can be reached out via phone at 618-288-2835 and via fax at 618-288-6162. You can also correspond with Gabriel Cardenas JR. through the mailing address at 521 MEADOW GLEN CT, HOUSE SPRINGS, MO - 63051-4320 (mailing address contact number: 618-514-1308).

Location: 6810 State Route 162, Maryville, IL, 63051-4320
person
Provider Profile Details
NPI Number
1043521719
Provider Name
Gabriel Cardenas JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6810 State Route 162, Maryville, IL, 63051-4320
Phone Number
618-288-2835
Fax Number
618-288-6162
Provider Enumeration Date
06/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F100153987 01 IL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
6810 State Route 162
City
State
Zip
62062-8587
Phone Number
618-288-2835
Fax Number
618-288-6162
person
Provider Business Mailing Address Details
Address
521 Meadow Glen Ct
City
State
Zip
63051-4320
Phone Number
618-514-1308
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
2010021578 (Missouri)
Definition
Definition to come...
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