Alexandra Danielle Gueck, PA
Physician Assistant in Washington, MO. Individual provider (NPI-1).
NPI number1679394530
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1679394530
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Danielle Gueck
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2024
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2025008183 | MO | Yes |
Practice location
901 E 5th StWashington, MO 63090-3127
Phone 636-239-8231
Mailing address
1 Lakeway CtDefiance, MO 63341-1417
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