Individual
SARAH ELISABETH RADECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 THE LEGENDS PKWY STE 100, EUREKA, MO 63025-3825
(636) 549-0121
Mailing address
16523 WILD HORSE CREEK RD APT 1216, CHESTERFIELD, MO 63017-1419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022042681
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2022
Last updated
04/12/2023
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