Individual provider · NPI-1

Dr. Mauricio Jose Avila Guerra, M.D.

Neurological Surgery · Saint Louis, MO

NPI number1487016390
StatusActive
Last updated in NPPESAug 23, 2023

Details

NPI
1487016390
Entity type
Individual (NPI-1)
Name
Dr. Mauricio Jose Avila Guerra
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 22, 2016
Certification date
Aug 23, 2023
Last updated
Aug 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery2023009168MOYes

Other names

  • Mauricio J. Avila (Professional Name)

Practice location

1201 S Grand Blvd
Saint Louis, MO 63104-1016

Phone 314-617-3420 · Fax 314-617-3430

Mailing address

1008 S Spring Ave Rm 3100
Saint Louis, MO 63110-2520

Phone 146-173-5463 · Fax 314-617-3430

Other practice locations

1501 N Campbell Ave
Room 4303
Tucson, AZ 85724-5070

Phone 520-626-0704

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