Individual
ELLEN O'BRIEN ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301
(636) 947-5000
(636) 947-5090
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005966
IL
363A00000X
Physician Assistant
Primary
2019027949
MO
Other
Enumeration date
10/04/2016
Last updated
08/23/2019
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