Individual
JAMIE MARIE MORAVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 PROGRESS POINT PKWY STE 202, O FALLON, MO 63368-2207
(636) 216-8372
(314) 741-5102
Mailing address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 567-6071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2012015985
IL
363A00000X
Physician Assistant
Primary
2012015985
MO
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/10/2012
Last updated
06/30/2026
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