Individual
CAROL RENEE DANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3660 VISTA AVE # 103, SAINT LOUIS, MO 63110-2540
(314) 977-8641
Mailing address
64 HUNTINGTON PKWY, SAINT CHARLES, MO 63301-8711
(636) 940-2328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
111669
MO
Other
Enumeration date
03/07/2007
Last updated
05/18/2011
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