Individual
MS. REBECCA SUE RIEPSHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218
Mailing address
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
085.001704
IL
363A00000X
Physician Assistant
Primary
085.001704
IL
363A00000X
Physician Assistant
2006028761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000097403
—
MO
Enumeration date
07/19/2005
Last updated
12/20/2021
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