Marian Gakes PA-C

NPI 1619151214 - Physician Assistant - 363AM0700X

NPI Details
NPI 1619151214
Gender Female
Enumeration Date 12/19/2007
Last Updated 04/05/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
1031 BELLEVUE AVE
SUITE 280
SAINT LOUIS MO, 63117-1818, US
Phone (314) 647-9444
Fax (314) 647-7317
Business Location
PO BOX 23340
SAINT LOUIS MO, 63156-3340, US
Phone (314) 647-9444
Fax (314) 647-7317
Toxanomy
Taxonomy Code 363AM0700X
License State Missouri
License Number 106557
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According to our database, Marian Gakes PA-C NPI is 1619151214, taxonomy code is 363AM0700X and license number is 106557, license state is located at Missouri. Marian Gakes PA-C physically located at 1031 Bellevue Ave, Saint Louis MO, 63117-1818. NPI Number Marian Gakes PA-C has the Individual type.

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1619151214 NPI number is provided on an as is basis without warranty of any kind. 1619151214 is maintained by the National Plan & Provider Enumeration System. The contents of Marian Gakes PA-C are for informational purposes only.