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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSE MARINO PARRA, MD

Active

JOSE MARINO PARRA, MD is a Sports Medicine healthcare provider located in CREVE COEUR, Missouri. NPI 1821283193 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · CREVE COEUR, MO

Registration Details

NPI Number
1821283193
Provider Type
Individual
Gender
Male
NPI Issued
Sep 10, 2007 (18.947123179186 yrs)
Last Updated
Jul 17, 2024
Licenses
125-057368 (IL)
2009020188 (MO)
2009020188 (MO)
2009020188 (MO)

Practice Information

Address
522 N NEW BALLAS RD STE 317
CREVE COEUR, MO, 631416840
Browse MO providers · Browse ZIP 63141
Phone
6365340200
Fax
6365340211
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine
Additional Specialty
Emergency Medicine
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.