Individual provider · Type 1 NPI

Patrice Staten, MD

Obstetrics & Gynecology Physician · Maryville, IL

NPI number 1154481364 Active

Practice location

6810 State Route 162 Suite 105
Maryville, IL 62062-8501

Fax (618) 288-9258

Mailing address

6810 State Route 162 Box 215
Maryville, IL 62062-8501

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X036106866 (IL)

Obstetrics & Gynecology Physician: 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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About NPI 1154481364

Patrice Staten, MD's National Provider Identifier is 1154481364, issued on Dec 11, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Maryville, IL. The record was last updated on Mar 27, 2020.