Andrea Christine Martin

NPI 1740523885 - Physician Assistant - 363A00000X

NPI Details
NPI 1740523885
Gender Female
Enumeration Date 03/27/2013
Last Updated 03/27/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
3009 N BALLAS RD
STE 100B
SAINT LOUIS MO, 63131-2322, US
Phone (314) 432-1111
Fax (314) 432-6308
Business Location
3009 N BALLAS RD
STE 100B
SAINT LOUIS MO, 63131-2322, US
Phone (314) 432-1111
Fax (314) 432-6308
Toxanomy
Taxonomy Code 363A00000X
License State Missouri
License Number 2013007998
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According to our database, Miss Andrea Christine Martin NPI is 1740523885, taxonomy code is 363A00000X and license number is 2013007998, license state is located at Missouri. Andrea Christine Martin physically located at 3009 N Ballas Rd, Saint Louis MO, 63131-2322. NPI Number Andrea Christine Martin has the Individual type.

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1740523885 NPI number is provided on an as is basis without warranty of any kind. 1740523885 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Christine Martin are for informational purposes only.