Individual
ANDREW PERRY BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141-8266
(314) 567-5850
Mailing address
10009 RODIUM DR APT A, SAINT LOUIS, MO 63123-5156
(314) 757-8241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021045980
MO
3747P1801X
Personal Care Attendant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2017
Last updated
12/15/2021
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