Organization
AMARA PROFESSIONAL CORPORATION
Active
Organization
AMARA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. C. TUNSTALL-ROBINSON M.D. (OWNER)
(314) 361-0477
Entity
Organization
Contact information
Practice address
5615 PERSHING AVE, SUITE 26, SAINT LOUIS, MO 63112-1757
(314) 361-0477
(314) 361-3771
Mailing address
5615 PERSHING AVE, SUITE 26, SAINT LOUIS, MO 63112-1757
(314) 361-0477
(314) 361-3771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-058285
IL
207R00000X
Internal Medicine Physician
Primary
35725
MO
Other
Enumeration date
07/10/2014
Last updated
07/17/2014
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