Individual
MR. JOSEPH ANDREW SOETAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4901 FOREST PARK AVE, DIV IM DERMATOLOGY, STE 502, SAINT LOUIS, MO 63108-1495
(314) 273-3376
(888) 665-8309
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-3376
(888) 665-8309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2010006472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220029608
—
MO
Enumeration date
04/12/2010
Last updated
04/17/2025
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