Dustin Edward Hemker
Physician Assistant, Surgical in Saint Peters, MO. Individual provider (NPI-1).
NPI number1184259079
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1184259079
- Entity type
- Individual (NPI-1)
- Name
- Dustin Edward Hemker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2020
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
937 Blake CtSaint Peters, MO 63376-5527
Phone 618-447-7853
Mailing address
937 Blake CtSaint Peters, MO 63376-5527
Phone 618-447-7853
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