PATRICE STATEN

MARYVILLE, IL
NPI1154481364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IL  036106866)
Enumeration Date2006-12-11
Last Update Date2020-03-27
Business Address
PATRICE STATEN M.D.
6810 STATE ROUTE 162 SUITE 105
MARYVILLE, IL 62062-8501
Phone number: 618-288-9320
Mailing Address
PATRICE STATEN M.D.
6810 STATE ROUTE 162 BOX 215
MARYVILLE, IL 62062-8501
Phone number: 618-391-6405
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