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Daniel Zackary Souvannarath
Physician Assistant in Bridgeton, Missouri
NPI 1174144828

Daniel Zackary Souvannarath is a Physician Assistant based in Saint Louis, MO. Daniel Zackary Souvannarath practices in Bridgeton, MO. The NPI Number for Daniel Zackary Souvannarath is 1174144828 and holds a License No. (Missouri).

The current practice location address for Daniel Zackary Souvannarath is 12266 De Paul Dr Ste 310, Bridgeton, MO and can be reached out via phone at 314-209-5171. You can also correspond with Daniel Zackary Souvannarath through the mailing address at PO BOX 955534, SAINT LOUIS, MO - 63195-5534 (mailing address contact number: ).

Location: 12266 De Paul Dr Ste 310, Bridgeton, MO, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174144828
Provider Name
Daniel Zackary Souvannarath
Credential
Provider Entity Type
Individual
Gender
Male
Address
12266 De Paul Dr Ste 310, Bridgeton, MO, 63195-5534
Phone Number
314-209-5171
Fax Number
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12266 De Paul Dr Ste 310
City
Bridgeton
State
Missouri
Zip
63044-2562
Phone Number
314-209-5171
Fax Number
person
Provider Business Mailing Address Details
Address
12266 De Paul Dr Ste 310
City
Bridgeton
State
Missouri
Zip
63044-2562
Phone Number
314-209-5171
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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