Dr. Amy Colleen Mcclintock
Family Doctor - Sports Medicine
12255 De Paul Dr Suite 600
Bridgeton
, Missouri 63044-2510
Dr. Amy Colleen Mcclintock
Family Doctor - Sports Medicine
12255 De Paul Dr Suite 600
Bridgeton
, Missouri 63044-2510
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Amy Colleen Mcclintock
- Po Box 955534
- Saint Louis, MO
- Zip : 63195-5534
- Phone :
Second Address
- Dr. Amy Colleen Mcclintock
- 12255 De Paul Dr Suite 600
- Bridgeton, MO
- Zip : 63044-2510
- Fax : (314) 209-5150
- Phone : (314) 209-5100
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Is Dr. Amy Colleen Mcclintock a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QS0010X | Family Doctor - Sports Medicine | 123806 | OH |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 2015026147 | MO |
National Provider Identifier
| NPI | 1073809141 |
|---|---|
| Provider Name | Dr. Amy Colleen Mcclintock |
| First Address | Saint Louis, MO 63195-5534 |
| Second Address | Bridgeton, MO 63044-2510 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2011 |
| Last Update Date | 11/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.