Individual
MELISSA DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 977-2570
Mailing address
4965 OLEATHA AVE APT 2W, SAINT LOUIS, MO 63139-1241
(309) 370-4456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008880
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2021
Last updated
08/19/2022
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