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Traci N St Clair, PA-C
Surgical Physician Assistant in Springfield, Missouri
NPI 1053373696

Traci N St Clair is a Surgical Physician Assistant based in Springfield, MO and is specialized in Surgical. Traci N St Clair practices in Springfield, MO and has the professional credentials of PA-C. The NPI Number for Traci N St Clair is 1053373696 and holds a License No. 2003002310 (Missouri).

The current practice location address for Traci N St Clair is 1229 E Seminole St, Springfield, MO and can be reached out via phone at 417-820-5610 and via fax at 417-820-5588.

Location: 1229 E Seminole St, Springfield, MO, 65801-2580
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Provider Profile Details
NPI Number
1053373696
Provider Name
Traci N St Clair
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1229 E Seminole St, Springfield, MO, 65801-2580
Phone Number
417-820-5610
Fax Number
417-820-5588
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2003002310 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1229 E Seminole St
City
State
Zip
65804-2227
Phone Number
417-820-5610
Fax Number
417-820-5588
person
Provider Business Mailing Address Details
Address
1229 E Seminole St
City
State
Zip
65804-2227
Phone Number
417-820-5610
Fax Number
417-820-5588
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2003002310 (Missouri)
Definition
Definition to come...
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