Individual
MR. JONATHAN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
607 S NEW BALLAS RD STE 3100, SAINT LOUIS, MO 63141-8219
(314) 251-8850
Mailing address
607 S NEW BALLAS RD STE 3100, SAINT LOUIS, MO 63141-8219
(314) 251-8850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020036333
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2016
Last updated
02/03/2021
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