SearchIllinois207V00000X

Patrice Staten, M.D

NPI 1154481364 · on the registry since 2006

Practice

Address
6810 State Route 162 Suite 105
Maryville, IL 62062
Phone
(618) 288-9320
Fax
(618) 288-9258
Organisation at this address
Mark Fedder, Md, Pc
Mark Edelstein, Md, Pc
Sps Surgical Services, Sc
James J. Dalla Riva, Md, Pc
Anderson Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois