Individual
ARMELA AGASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-1997
(573) 468-1998
Mailing address
670 MASON RIDGE CENTER DR, STE. 300, SAINT LOUIS, MO 63141-8573
(573) 468-1997
(573) 468-1998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33219
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200277903
—
MO
Enumeration date
08/23/2006
Last updated
12/07/2015
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