# AVALON OBSTETRICS AND GYNECOLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619059417
- **Authorized official:** MRS. KIM SNIDER (OFFICE MANAGER)
- **Authorized official phone:** (573) 701-9600

## Contact information

- **Practice address:** 1105 W LIBERTY ST, SUITE 2050, FARMINGTON, MO 63640-1921
- **Practice address phone:** (573) 701-9600
- **Practice address fax:** (573) 701-9605
- **Mailing address:** 1105 W LIBERTY ST, SUITE 2050, FARMINGTON, MO 63640-1921
- **Mailing address phone:** (573) 701-9600
- **Mailing address fax:** (573) 701-9605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | R9B54 | MO | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 01/21/2010