Individual
DR. ANN JEAN DEBARTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
851 E 5TH ST STE 108, WASHINGTON, MO 63090-3128
(636) 861-7870
Mailing address
851 E 5TH ST STE 108, WASHINGTON, MO 63090-3128
(636) 861-7870
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2023017130
MO
Other
Enumeration date
06/26/2018
Last updated
09/13/2023
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