Individual
ERICA MICHELLE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2613 FAIRWAY DR, FULTON, MO 65251-4030
(573) 642-1990
(573) 642-5089
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016033545
MO
Other
Enumeration date
09/15/2016
Last updated
04/06/2023
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