Organization
JASON B. AMATO, MD DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON B AMATO MD (PHYSICIAN/OWNER)
(314) 569-3323
Entity
Organization
Contact information
Practice address
522 N NEW BALLAS RD, SUITE 203, SAINT LOUIS, MO 63141-6857
(314) 569-3323
(314) 569-3358
Mailing address
522 N NEW BALLAS RD, SUITE 203, SAINT LOUIS, MO 63141-6857
(314) 569-3323
(314) 569-3358
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
112774
MO
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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