Samuel Joseph PA-C

NPI 1730111337 - Physician Assistant - 363A00000X

NPI Details
NPI 1730111337
Gender Male
Enumeration Date 07/06/2006
Last Updated 03/09/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
5701 DELMAR BLVD
SAINT LOUIS MO, 63112-2617, US
Phone (314) 367-7848
Fax (314) 367-2985
Business Location
5701 DELMAR BLVD
SAINT LOUIS MO, 63112-2617, US
Phone (314) 367-7848
Fax (314) 367-2985
Toxanomy
Taxonomy Code 363A00000X
License State Missouri
License Number 1999134859
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According to our database, Samuel Joseph PA-C NPI is 1730111337, taxonomy code is 363A00000X and license number is 1999134859, license state is located at Missouri. Samuel Joseph PA-C physically located at 5701 Delmar Blvd, Saint Louis MO, 63112-2617. NPI Number Samuel Joseph PA-C has the Individual type.

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1730111337 NPI number is provided on an as is basis without warranty of any kind. 1730111337 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Joseph PA-C are for informational purposes only.