Individual
AMANDA MONTELEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
621 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8232
(314) 251-1700
Mailing address
621 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8232
(314) 251-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004469
IL
363A00000X
Physician Assistant
Primary
2025008599
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01138784
RAILROAD
IL
Enumeration date
09/18/2012
Last updated
04/10/2025
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