Individual
MS. ANGELA M PASSANISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
801 MEDICAL DR STE 400, WENTZVILLE, MO 63385-3824
(636) 332-8455
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
03478
KY
207X00000X
Orthopaedic Surgery Physician
34.010491
OH
207X00000X
Orthopaedic Surgery Physician
DO178709
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2013018503
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DO178709
OR
Other
Enumeration date
06/20/2007
Last updated
08/12/2024
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