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Dr. Ismael Perez Moreno, MD
Vascular & Interventional Radiology Physician in St. Louis, Missouri
NPI 1679716278

Ismael Perez Moreno is a Vascular & Interventional Radiology Physician based in Folsom, MO and is specialized in Vascular & Interventional Radiology. Ismael Perez Moreno practices in St. Louis, MO and has the professional credentials of MD. The NPI Number for Ismael Perez Moreno is 1679716278 and holds a License No. MT 184060 (Missouri).

The current practice location address for Ismael Perez Moreno is 3635 Vista At Grand, St. Louis, MO and can be reached out via phone at 314-268-5782 and via fax at 314-268-5116.

Location: 3635 Vista At Grand, St. Louis, MO, 95630-6224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679716278
Provider Name
Ismael Perez Moreno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3635 Vista At Grand, St. Louis, MO, 95630-6224
Phone Number
314-268-5782
Fax Number
314-268-5116
Provider Enumeration Date
04/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3635 Vista At Grand
City
St. Louis
State
Missouri
Zip
63110
Phone Number
314-268-5782
Fax Number
314-268-5116
person
Provider Business Mailing Address Details
Address
3635 Vista At Grand
City
St. Louis
State
Missouri
Zip
63110
Phone Number
314-268-5782
Fax Number
314-268-5116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
C7-0004180 (Delaware)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MT 184060 (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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