Healthcare Provider Details

I. General information

NPI: 1720432008
Provider Name (Legal Business Name): SYDNEY LYNN BLOUNT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNEY L REES

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 06/22/2020
Certification Date: 06/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

660 S EUCLID AVE, CB 8127 CB 8127
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1700
  • Fax: 314-362-9878
Mailing address:
  • Phone: 314-362-5000
  • Fax: 314-362-9878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2019017106
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number2019017106
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: