Individual
ABIGAIL GROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1326 CLARKSON CLAYTON CTR, ELLISVILLE, MO 63011-2145
(314) 293-4410
(314) 293-4412
Mailing address
1326 CLARKSON CLAYTON CTR, ELLISVILLE, MO 63011-2145
(314) 293-4410
(314) 293-4412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022037498
MO
Other
Enumeration date
10/25/2022
Last updated
11/05/2024
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