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Individual

MRS. REBECCA RUTH SCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
607 S NEW BALLAS RD STE 2350, SAINT LOUIS, MO 63141-0001
(314) 251-4260
Mailing address
636 WILD HORSE CREEK DR, FAIRVIEW HEIGHTS, IL 62208-2049
(618) 319-2432

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007387
IL
363A00000X
Physician Assistant
Primary
2020007081
MO

Other

Enumeration date
04/01/2020
Last updated
01/11/2022
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