Individual provider · NPI-1
Amer Avdagic, MD
Student in an Organized Health Care Education/Training Program · Saint Louis, MO
NPI number1265292387
StatusActive
Last updated in NPPESJul 29, 2025
Details
- NPI
- 1265292387
- Entity type
- Individual (NPI-1)
- Name
- Amer Avdagic
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2024
- Certification date
- Jul 29, 2025
- Last updated
- Jul 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
1402 S Grand Blvd Rm M260Saint Louis, MO 63104-1004
Phone 314-556-7373
Mailing address
1402 S Grand Blvd Rm M260Saint Louis, MO 63104-1004
Phone 314-556-7373
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