Healthcare Provider Details

I. General information

NPI: 1750279592
Provider Name (Legal Business Name): AMY VALENTINE DEVEYDT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY VALENTINE EGGERS

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 THE CEDARS CT
CEDAR HILL MO
63016-2222
US

IV. Provider business mailing address

6420 THE CEDARS CT
CEDAR HILL MO
63016-2222
US

V. Phone/Fax

Practice location:
  • Phone: 636-274-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025025482
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: