Individual
SARA JANE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141-8266
(314) 251-7070
Mailing address
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141-8266
(314) 251-7070
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2015004456
MO
Other
Enumeration date
02/13/2015
Last updated
12/05/2023
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