NPI 1255647772

Beth Ann Damke, COTAL

Practitioner Specialist Hazelwood, MO

Practice location

Address: 1 Village Square Ctr STE a, Hazelwood, MO 63042-1817
Phone: (314) 731-4555
Fax: (314) 557-6110
Mailing address: 942 Scotch Pine Trl, Foristell, MO 63348-1522

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2009014390 (MO)

Other Specialist providers in Missouri →

Registry record

NPI: 1255647772
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2010
Record last updated: 21 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.