Individual provider · Type 1 NPI

Amanda M. Hart, DPM

Foot & Ankle Surgery Podiatrist · Belleville, IL

NPI number 1114289121 Active

Practice location

2900 Frank Scott Pkwy W, Suite 900
Belleville, IL 62223-5000

Fax (618) 257-7049

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016.005647 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1114289121

Amanda M. Hart, DPM's National Provider Identifier is 1114289121, issued on Jun 14, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Belleville, IL. The record was last updated on Jul 7, 2015.