Individual
AMY ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 MEMORIAL DR STE 400, BELLEVILLE, IL 62226-5366
(618) 235-0460
Mailing address
4600 MEMORIAL DR STE 400, BELLEVILLE, IL 62226-5366
(618) 235-0460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008311
IL
363A00000X
Physician Assistant
—
IN
Other
Enumeration date
05/21/2018
Last updated
12/15/2021
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