Individual
MS. ISABELLE THALA REED SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4921 PARKVIEW PL, DIV IM ENDOCRINOLOGY, STE 5C, SAINT LOUIS, MO 63110-1032
(314) 362-3500
(314) 230-1119
Mailing address
4921 PARKVIEW PL STE 13B, SAINT LOUIS, MO 63110-1032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023044681
MO
363A00000X
Physician Assistant
85.010028
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220136215
—
MO
Enumeration date
11/20/2023
Last updated
08/20/2025
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