Provider Demographics
NPI:1730139833
Name:SALINAS, MARIO A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIO
Middle Name:A
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10004 KENNERLY RD
Mailing Address - Street 2:STE 395B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2141
Mailing Address - Country:US
Mailing Address - Phone:314-849-3500
Mailing Address - Fax:314-849-4422
Practice Address - Street 1:10004 KENNERLY RD
Practice Address - Street 2:SUITE 395B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2141
Practice Address - Country:US
Practice Address - Phone:314-849-3500
Practice Address - Fax:314-849-4422
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2017-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO35863207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200259208Medicaid
MO523605359Medicare PIN
MO200259208Medicaid