Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avalon Obstetrics and Gynecology, PC

Organization Obstetrics & Gynecology Physician · NPI 1619059417

Avalon Obstetrics and Gynecology, PC is an Obstetrics & Gynecology Physician in Farmington, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1105 W Liberty St Ste 2050
Farmington, MO 63640-1921
Phone: (573) 701-9600
Fax: (573) 701-9605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence R9B54 (MO)

Record details

NPI number1619059417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Snider — Office Manager · (573) 701-9600
NPI enumeratedOctober 20, 2006
Last updated in NPPESJanuary 21, 2010
Mailing address1105 W Liberty St, Suite 2050, Farmington, MO 63640-1921

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