Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Enrique Pastrana, MD

Individual provider Surgery Physician · NPI 1417940412

Mr. Enrique Pastrana, MD is a Surgery Physician in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1011 Bowles Ave Ste 300
Fenton, MO 63026-2387
Phone: (636) 496-5030
Fax: (636) 496-5035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence R1P02 (MO)

Record details

NPI number1417940412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJune 8, 2012

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