Individual
MRS. JANICE NEWHALL LINEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10 ARBOR RD, SAINT LOUIS, MO 63132-4203
(314) 989-0607
(314) 989-0615
Mailing address
10 ARBOR RD, SAINT LOUIS, MO 63132-4203
(314) 989-0607
(314) 989-0615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
118392
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118392
STATE LICENSE NUMBER
MO
Enumeration date
10/12/2006
Last updated
07/08/2007
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