Provider Demographics
NPI:1265546923
Name:INMAN, PATRICIA SUE (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:SUE
Last Name:INMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:400 CHESTERFIELD CTR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4834
Mailing Address - Country:US
Mailing Address - Phone:314-218-2222
Mailing Address - Fax:314-218-2223
Practice Address - Street 1:400 CHESTERFIELD CTR
Practice Address - Street 2:SUITE 400
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4834
Practice Address - Country:US
Practice Address - Phone:314-218-2222
Practice Address - Fax:314-218-2223
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006002912207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200826907Medicaid