Individual
ELISE K DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 760-8090
(573) 760-8260
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(573) 760-8090
(573) 760-8260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024039608
MO
Other
Enumeration date
08/21/2024
Last updated
10/28/2025
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