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NPI Code Detail

MEDICARE: PATRICIA J AMATO M.D.

MEDICARE: PATRICIA J AMATO M.D.
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
1208000000XPediatrics PhysicianR6E65MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140903OTHERMOGHP
292215275OTHERMOBLUE SHIELD
3A13911OTHERMOMERCY
424319OTHERMSBCBS
5100151OTHERMOHEALTHLINK
64000024OTHERMOAETNA
71200154OTHERMOUHC
81817V34311OTHERMOHEALTHCARE USA

General Provider Information

NPI Number : 1013908623
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA J AMATO M.D.
Provider Business Mailing Address
First Line : PO BOX 23340
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63156-3340
Country : US
Telephone Number : 314-965-5437
Fax Number : 314-965-5439
Provider Business Practice Location Address
First Line : 9930 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-1827
Country : US
Telephone Number : 314-965-5437
Fax Number : 314-965-5439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 01/21/2010

Similar Medicare Providers

1174527584 — EDWARD O'BRIEN M.D.
Practice Location Address:
9930 WATSON RD
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63126-1827
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Practice Fax: 314-984-0736
1477544724 — GREGORY CIZEK M.D.
Practice Location Address:
9930 WATSON RD
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1578554762 — DANIEL ABODEELY M.D.
Practice Location Address:
9930 WATSON RD
SAINT LOUIS, MO
63126-1827
Practice Phone: 314-984-8827
Practice Fax: 314-984-0736
1205817376 — KAREN K NORTON M.D.
Practice Location Address:
9930 WATSON RD
SAINT LOUIS, MO
63126-1827
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Practice Fax: 314-965-5439
1417938176 — PETER PUTNAM M.D.
Practice Location Address:
9930 WATSON RD
SAINT LOUIS, MO
63126-1827
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1306827829 — THOMAS SCHROYER M.D.
Practice Location Address:
9930 WATSON RD
SAINT LOUIS, MO
63126-1827
Practice Phone: 314-984-8827
Practice Fax: 314-984-0736

Directions to “ PATRICIA J AMATO M.D.” Practice Location

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