Provider Demographics
NPI:1043352263
Name:REINING, ANGELA MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARY
Last Name:REINING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 505633
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-5633
Mailing Address - Country:US
Mailing Address - Phone:314-432-3669
Mailing Address - Fax:314-432-3118
Practice Address - Street 1:3023 N BALLAS RD
Practice Address - Street 2:STE 120D
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2330
Practice Address - Country:US
Practice Address - Phone:314-432-3669
Practice Address - Fax:314-432-3118
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2024-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2007007786207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204926505Medicaid
MO204926505Medicaid