Provider Demographics
NPI:1699730853
Name:JOSEPH, AMY M (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:915 N GRAND BLVD # JC111
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-1621
Mailing Address - Country:US
Mailing Address - Phone:314-652-4100
Mailing Address - Fax:314-289-6389
Practice Address - Street 1:915 N GRAND BLVD # JC111
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:314-289-6389
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2024-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR8G67207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203397013Medicaid
ILENROLLEDMedicaid
MO014310183Medicaid
MO014310183Medicare PIN