Jamie Lee Tueth D.O.

NPI 1619100989 - Internal Medicine - 207R00000X

NPI Details
NPI 1619100989
Gender Female
Enumeration Date 09/02/2009
Last Updated 10/15/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
20 PROGRESS POINT PKWY
STE 108
O FALLON MO, 63368-2206, US
Phone (636) 344-2400
Fax (636) 344-2401
Business Location
670 MASON RIDGE CENTER DR
STE 300
SAINT LOUIS MO, 63141-8573, US
Phone (636) 344-2400
Fax (636) 344-2401
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2012006602
Remove 1619100989 NPI Number
 

According to our database, Dr. Jamie Lee Tueth D.O. NPI is 1619100989, taxonomy code is 207R00000X and license number is 2012006602, license state is located at Missouri. Jamie Lee Tueth D.O. physically located at 20 Progress Point Pkwy, O Fallon MO, 63368-2206. NPI Number Jamie Lee Tueth D.O. has the Individual type.

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1619100989 NPI number is provided on an as is basis without warranty of any kind. 1619100989 is maintained by the National Plan & Provider Enumeration System. The contents of Jamie Lee Tueth D.O. are for informational purposes only.