Individual
TAYLOR SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
3802 BREEZY HL, BELLEVILLE, IL 62221-4502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
02/27/2024
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