Individual
AMANDA L. REGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12348 OLD TESSON RD STE 160, SAINT LOUIS, MO 63128-2251
(314) 467-3800
(314) 467-3801
Mailing address
12348 OLD TESSON RD STE 160, SAINT LOUIS, MO 63128-2251
(314) 467-3800
(314) 467-3801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005007822
MO
Other
Enumeration date
02/22/2006
Last updated
07/03/2019
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