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Individual

AMANDA LEIGH BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 977-4694
Mailing address
4152 BLAINE AVE, SAINT LOUIS, MO 63110-2434

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
112233
MO

Other

Enumeration date
05/10/2022
Last updated
05/10/2022
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