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Organization

THE AMTAG GROUP LLC

Active
Other names
AMTAG
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAMON L GIBONEY (COO)
(314) 755-9717
Entity
Organization

Contact information

Practice address
1616 N 18TH ST, SAINT LOUIS, MO 63106-3107
(314) 755-9717
(314) 755-9717
Mailing address
1616 N 18TH ST, SAINT LOUIS, MO 63106-3107
(314) 755-9717
(314) 755-9717

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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