Individual
MR. ADAM RYAN CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP- BC
Contact information
Practice address
1 BARNES PLAZA, SAINT LOUIS, MO 63110-1003
(314) 286-0734
Mailing address
1 BARNES PLAZA, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017025914
MO
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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