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Maria Sullivan, PA-C
Medical Physician Assistant in Bridgeton, Missouri
NPI 1710541040

Maria Sullivan is a Medical Physician Assistant based in Bridgeton, MO and is specialized in Medical. Maria Sullivan practices in Bridgeton, MO and has the professional credentials of PA-C. The NPI Number for Maria Sullivan is 1710541040 and holds a License No. PA56937 (Missouri).

The current practice location address for Maria Sullivan is 3440 De Paul Ln Ste 113, Bridgeton, MO and can be reached out via phone at 314-942-6464.

Location: 3440 De Paul Ln Ste 113, Bridgeton, MO, 63044-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710541040
Provider Name
Maria Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3440 De Paul Ln Ste 113, Bridgeton, MO, 63044-3546
Phone Number
314-942-6464
Fax Number
Provider Enumeration Date
04/22/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3440 De Paul Ln Ste 113
City
Bridgeton
State
Missouri
Zip
63044-3546
Phone Number
314-942-6464
Fax Number
person
Provider Business Mailing Address Details
Address
3440 De Paul Ln Ste 113
City
Bridgeton
State
Missouri
Zip
63044-3546
Phone Number
314-942-6464
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA56937 (California)
Definition
Definition to come...
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