Provider Demographics
NPI:1619100989
Name:TUETH, JAMIE LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LEE
Last Name:TUETH
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:636-344-2400
Mailing Address - Fax:636-344-2401
Practice Address - Street 1:20 PROGRESS POINT PKWY
Practice Address - Street 2:STE 108
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2206
Practice Address - Country:US
Practice Address - Phone:636-344-2400
Practice Address - Fax:636-344-2401
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2021-03-22
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Provider Licenses
StateLicense IDTaxonomies
MO2012006602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine