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NPI Code Detail

MEDICARE: NATALIE ANN DAMERON MMS, PA-C

MEDICARE:   NATALIE ANN DAMERON  MMS, PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2026006462MO

General Provider Information

NPI Number : 1568322923
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE ANN DAMERON MMS, PA-C
Provider Business Mailing Address
First Line : PO BOX 957683
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-7683
Country : US
Telephone Number : 573-760-8090
Fax Number : 573-760-8260
Provider Business Practice Location Address
First Line : 1103 W LIBERTY ST
Second Line :
City : FARMINGTON
State : MO
Zip : 63640-1921
Country : US
Telephone Number : 573-760-8090
Fax Number : 573-760-8260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2025
Last Update Date : 02/16/2026

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Directions to “ NATALIE ANN DAMERON MMS, PA-C” Practice Location

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