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Individual

DR. CLAUDIA T. VIAMONTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D

Contact information

Practice address
522 N. NEW BALLAS, SUITE 332, ST. LOUIS, MO 63141
(314) 989-0542
(618) 876-7596
Mailing address
2120 MADISON AVE, SUITE 404, GRANITE CITY, IL 62040
(618) 876-7515
(618) 876-7596

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R6P47
MO
2084P0802X
Addiction Psychiatry Physician
R6P47
MO
2084P0805X
Geriatric Psychiatry Physician
R6P47
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1500556
UBH
MO
05
207721200
MO
01
273089
HEALTHLINK
MO
01
546H1
BLUECROSSBLUESHIELD
MO
01
F87036
MERCY
MO
Enumeration date
04/02/2007
Last updated
10/29/2010
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