NPI 1730384413

Angela M Passanise, DO

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Wentzville, MO

Practice location

Address: 801 Medical Dr STE 400, Wentzville, MO 63385-3824
Phone: (636) 332-8455
Mailing address: PO Box 955534, Saint Louis, MO 63195-5534

Registered specialties (5)

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 2013018503 (MO)

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Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 34.010491 (OH)

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 03478 (KY)

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence DO178709 (OR)

Sports Medicine (Orthopaedic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence DO178709 (OR)

Registry record

NPI: 1730384413
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2007
Record last updated: 12 Aug 2024

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.