Individual
AMY L COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 PATIENTS FIRST DR, SUITE 1200, WASHINGTON, MO 63090-4700
(636) 390-1777
Mailing address
901 PATIENTS FIRST DR, SUITE 1200, WASHINGTON, MO 63090-4700
(636) 390-1777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010027317
MO
207Q00000X
Family Medicine Physician
50798
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275730152
—
MO
01
—
P00824264
RAILROAD MEDICARE
MN
01
—
P01134582
RAILROAD MEDICARE
MO
Enumeration date
07/02/2007
Last updated
05/14/2015
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