person
Patrice Staten, MD
Obstetrics & Gynecology Physician in Maryville, Illinois
NPI 1154481364

Patrice Staten is a Obstetrics & Gynecology Physician based in Maryville, IL. Patrice Staten practices in Maryville, IL and has the professional credentials of MD. The NPI Number for Patrice Staten is 1154481364 and holds a License No. 036106866 (Illinois).

The current practice location address for Patrice Staten is 6810 State Route 162 Suite 105, Maryville, IL and can be reached out via phone at 618-288-9320 and via fax at 618-288-9258. You can also correspond with Patrice Staten through the mailing address at 6810 STATE ROUTE 162 BOX 215, MARYVILLE, IL - 62062-8501 (mailing address contact number: 618-391-6405).

Location: 6810 State Route 162 Suite 105, Maryville, IL, 62062-8501
person
Provider Profile Details
NPI Number
1154481364
Provider Name
Patrice Staten
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6810 State Route 162 Suite 105, Maryville, IL, 62062-8501
Phone Number
618-288-9320
Fax Number
618-288-9258
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036106866001 05 IL
institution
Provider Business Practice Location Address Details
Address
6810 State Route 162 Suite 105
City
State
Zip
62062-8501
Phone Number
618-288-9320
Fax Number
618-288-9258
person
Provider Business Mailing Address Details
Address
6810 State Route 162 Suite 105
City
State
Zip
62062-8501
Phone Number
618-288-9320
Fax Number
618-288-9258
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
036106866 (Illinois)
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 a primary physician for women.
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