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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AYOTUNDE MARK BAMIMORE, M.D

Active

AYOTUNDE MARK BAMIMORE, M.D is a Clinical Cardiac Electrophysiology healthcare provider located in SAINT CHARLES, Missouri. NPI 1558546515 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · SAINT CHARLES, MO

Registration Details

NPI Number
1558546515
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2008 (18.634654933407 yrs)
Last Updated
Oct 20, 2020
Licenses
2012-00809 (NC)
2013027460 (MO)
2013027460 (MO)

Practice Information

Address
400 1ST CAPITOL DR STE 401
SAINT CHARLES, MO, 633012886
Browse MO providers · Browse ZIP 63301
Phone
6366692220
Primary Specialty
Clinical Cardiac Electrophysiology
207RC0001X
Additional Specialty
Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.