Susan J Ameiss, PA-C
Physician Assistant in Saint Louis, MO. Individual provider (NPI-1).
NPI number1245565415
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1245565415
- Entity type
- Individual (NPI-1)
- Name
- Susan J Ameiss
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2009
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2009027331 | MO | Yes |
| 363A00000X | Physician Assistant | 085.005841 | IL | |
| 207P00000X | Emergency Medicine | 2009027331 | MO |
Practice location
1465 S Grand BlvdSaint Louis, MO 63104-1003
Phone 314-577-5631
Mailing address
1465 S Grand BlvdSaint Louis, MO 63104-1003
Phone 314-577-5631
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