Individual
SAMUEL POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 S NEW BALLAS RD STE 510, SAINT LOUIS, MO 63141-8726
(314) 251-6710
Mailing address
701 S NEW BALLAS RD STE 510, SAINT LOUIS, MO 63141-8726
(314) 251-6710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
2025042977
MO
Other
Enumeration date
10/11/2017
Last updated
10/15/2025
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