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Contact Information

AMANDA E AVELLONE, MD
1455 US HIGHWAY 61
FESTUS, MO63028-4157
 Phone: 636-937-3121
 Fax: 636-937-4423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMANDA E AVELLONE · (Female)

NPI Number 1154325082
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 07/30/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2004030200
  • MO Medicaid 207306903
  • MO Other P00229439 MEDICARE RAILROAD
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1400 HIGHWAY 61 SOUTH
    CRYSTAL CITY, MO 63019
  • PARKLAND HEALTH CENTER - (Acute Care)
    1101 W LIBERTY
    FARMINGTON, MO 63640
  • SSM DEPAUL HEALTH CENTER - (Acute Care)
    12303 DEPAUL DRIVE
    BRIDGETON, MO 63044
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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