Individual provider · Type 1 NPI

Julian Benjamin Quesada

Military Health Care Provider · O Fallon, IL

NPI number 1790470185 Active

Practice location

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284

Call (956) 285-7176 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

58 other providers at this address

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About NPI 1790470185

Julian Benjamin Quesada's National Provider Identifier is 1790470185, issued on Apr 10, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in O Fallon, IL. The record was last updated on Sep 15, 2026.