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Individual

EROL AMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1031 BELLEVUE, ST LOUIS, MO 63117
(314) 781-4772
(314) 781-1330
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
R2G01
MO

Other

Enumeration date
08/04/2006
Last updated
03/18/2008
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