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Individual

ALEX H AMANAT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5422 SOUTHFIELD CTR, SAINT LOUIS, MO 63123-5907
(314) 842-0707
(314) 842-0730
Mailing address
11903 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2623
(314) 770-0900
(314) 739-8569

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35661
MO

Other

Enumeration date
07/22/2005
Last updated
07/08/2007
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