Individual
EMALEE ANN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-3500
Mailing address
1841 S 11TH PL, ROGERS, AR 72756-5830
(479) 228-3834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023049143
MO
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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