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Samantha Taylor, C-AA

Anesthesiologist Assistant in Saint Louis, MO. Individual provider (NPI-1).

NPI number1114593142
StatusActive
Last updated in NPPESJun 1, 2021

Details

NPI
1114593142
Entity type
Individual (NPI-1)
Name
Ms. Samantha Taylor
Credential
C-AA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2021
Certification date
Jun 1, 2021
Last updated
Jun 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant–MOYes

Practice location

615 S New Ballas Rd
Saint Louis, MO 63141-8221

Phone 636-386-9224 · Fax 636-386-7679

Mailing address

339 Consort Dr
Ballwin, MO 63011-4439

Phone 636-386-9224 · Fax 636-386-7679

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