Individual
ALLISON MCNIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 257-8221
Mailing address
3655 VISTA AVE RM G120, SAINT LOUIS, MO 63110-2539
(314) 257-8222
(314) 257-8221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
05/03/2021
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