Individual
MRS. SUSAN M LINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 S KIRKWOOD RD, SUITE 200, SAINT LOUIS, MO 63122-6161
(314) 909-1666
(314) 909-7406
Mailing address
333 S KIRKWOOD RD, SUITE 200, SAINT LOUIS, MO 63122-6161
(314) 909-1666
(314) 909-7406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102812
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152148
BLUE CROSS BLUE SHIELD
MO
01
—
331125
HEALTHLINK
MO
01
—
5261568
AETNA
MO
Enumeration date
07/03/2006
Last updated
02/19/2014
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