Individual
MIKAYLA SUSAN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 768-8000
Mailing address
11 N WALLING DR, SAINT LOUIS, MO 63141-7356
(618) 340-5113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023029897
MO
Other
Enumeration date
05/19/2023
Last updated
07/28/2023
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