# ELLE BARBER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245804491
- **Authorized official:** ELLA BARBER PA-C (MEMBER)
- **Authorized official phone:** (314) 537-0646

## Contact information

- **Practice address:** 1 NORMTON DR, SAINT LOUIS, MO 63124-2053
- **Practice address phone:** (314) 537-0646
- **Mailing address:** 1 NORMTON DR, SAINT LOUIS, MO 63124-2053
- **Mailing address phone:** (314) 537-0646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2021
- **Last updated:** 06/11/2021