Healthcare Provider Details

I. General information

NPI: 1174144158
Provider Name (Legal Business Name): ANDREW JAMES GARRONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 1ST CAPITOL DR STE 100
SAINT CHARLES MO
63301-2881
US

IV. Provider business mailing address

1433 HAARMAN OAK DR
WILDWOOD MO
63005-4287
US

V. Phone/Fax

Practice location:
  • Phone: 636-332-8455
  • Fax: 636-669-0241
Mailing address:
  • Phone: 314-488-8308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2026035457
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: