Provider Demographics
NPI:1013605211
Name:DEL TORO, DREW EVERETT (MD)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:EVERETT
Last Name:DEL TORO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 N KINGSHIGHWAY BLVD APT 4D
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-1350
Mailing Address - Country:US
Mailing Address - Phone:802-324-6582
Mailing Address - Fax:
Practice Address - Street 1:40 N KINGSHIGHWAY BLVD APT 4D
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1350
Practice Address - Country:US
Practice Address - Phone:802-324-6582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program