Patrice Staten in Maryville - Obstetrics & Gynecology
Patrice Staten - NPI 1154481364
Patrice Staten is a Obstetrics & Gynecology in Maryville, Illinois. Patrice Staten practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Patrice Staten is 1154481364. The last update date is 2020-03-27.
Patrice Staten's current location address is 6810 State Route 162 Box 215, Maryville, Illinois. You can contact this provider via phone number 6183916405 and fax number 6182884088. The mailing address for Patrice Staten is 6810 State Route 162 Box 215, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice Staten |
|---|---|
| Address | 6810 State Route 162 Box 215, Maryville, Illinois |
| Phone Number | 6183916405 |
| Fax Number | 6182884088 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154481364 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2020-03-27 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 Box 215 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6183916405 |
| Fax Number | 6182884088 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 36106866 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36106866001 | IL | -- |
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What is the unique 10-digit identifier code assigned to Patrice Staten by the Centers for Medicare & Medicaid Services?
The Patrice Staten has been issued the NPI (National Provider Identifier) 1154481364 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Patrice Staten located?
The Patrice Staten is located at 6810 State Route 162 Box 215, Maryville, IL 620628501.
What is Patrice Staten's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patrice Staten is Obstetrics & Gynecology, and the taxonomy code that categorizes this field of expertise is 207V00000X.
When was the Patrice Staten's 1154481364 issued?
The Patrice Staten's 1154481364 was issued on 2006-12-11.
When was the information regarding Patrice Staten most recently updated?
The details pertaining to the Patrice Staten, including its address, specialty, and other relevant information, were last refreshed on 2020-03-27.