Individual provider · NPI-1

Dr. Briccio Silvestre Cadiz III, M.D.

Internal Medicine · Festus, MO

NPI number1932182722
StatusActive
Last updated in NPPESMar 24, 2022

Details

NPI
1932182722
Entity type
Individual (NPI-1)
Name
Dr. Briccio Silvestre Cadiz III
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 25, 2005
Certification date
Mar 24, 2022
Last updated
Mar 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine103016MOYes

Practice location

1447 Us Highway 61 Ste B
Festus, MO 63028-4151

Phone 636-937-7903 · Fax 636-937-7602

Mailing address

2440 Wimbledon Estates Drive
Festus, MO 63028-4274

Phone 636-937-7903 · Fax 636-937-7602

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