Doctor Name: | CHRISTOPHER BRIAN ESPANA |
NPI Number: | 1003922634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2006007898 |
Business Practice Address: | 3440 De Paul Lane Sutie 110 Bridgeton, MO - 630443546 |
Business Phone Number: | 3177391333 |
Business Fax Number: | 3147391350 |
Mailing Address: | 3440 De Paul Lane, Sutie 110 BRIDGETON |
State: | MO |
Postal Code: | 630443546 |
Phone Number: | 3177391333 |
Fax Number: | 3147391350 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2006007898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |