Individual
ELLEN M BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9701 LANDMARK PARKWAY DR STE 207, SAINT LOUIS, MO 63127-1665
(314) 849-8700
Mailing address
PO BOX 874797, KANSAS CITY, MO 64187-4797
(314) 849-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004009
IL
363A00000X
Physician Assistant
20240478142
MO
363A00000X
Physician Assistant
52534
CA
Other
Enumeration date
03/10/2011
Last updated
03/11/2025
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