Individual
MARY MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 977-8641
Mailing address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024010677
MO
Other
Enumeration date
01/04/2023
Last updated
06/13/2024
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