Individual
SARAH ELIZABETH JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1765
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
RR MEDICARE
MO
05
—
PENDING
—
MO
Enumeration date
02/25/2016
Last updated
02/23/2023
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