Individual
MRS. SHAY C HIETPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5646
(314) 268-6438
Mailing address
324 WESTON OAKS CT, KIRKWOOD, MO 63122-2953
(314) 221-6869
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
085.002927
IL
363AS0400X
Surgical Physician Assistant
Primary
2006038714
MO
Other
Enumeration date
02/27/2007
Last updated
02/09/2021
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