Individual
DR. AMY COLLEEN MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3449 PHEASANT MEADOW DR STE 107, O FALLON, MO 63368-7364
(573) 271-2927
(573) 271-2928
Mailing address
1074 BRYAN RD, O FALLON, MO 63366-3400
(573) 271-2927
(573) 271-2928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036159591
IL
207Q00000X
Family Medicine Physician
Primary
2015026147
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
036159591
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
123806
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
2015026147
MO
Other
Enumeration date
06/27/2011
Last updated
12/09/2025
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