Individual
MITCHELL JOSEPH THOMAS DURANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
(314) 653-5648
Mailing address
PO BOX 1449, MARYLAND HEIGHTS, MO 63043-0449
(800) 345-5407
(636) 386-5386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020406
MI
208M00000X
Hospitalist Physician
Primary
2017008334
MO
Other
Enumeration date
05/06/2013
Last updated
12/31/2023
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