Individual
DR. DANIEL TONYE MAMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 286-1700
(314) 362-7012
Mailing address
660 S EUCLID AVE, C B 8134, SAINT LOUIS, MO 63110-1010
(314) 286-1700
(314) 286-1777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2005025715
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207482902
—
MO
Enumeration date
07/14/2006
Last updated
01/24/2017
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