Individual
MRS. EMILY M MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1465 S GRAND BLVD, DEPARTMENT OF ORTHOPEDIC SURGERY, SAINT LOUIS, MO 63104-1003
(314) 577-5646
Mailing address
1465 S GRAND BLVD DEPT OF, SAINT LOUIS, MO 63104-1003
(314) 577-5646
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2007033181
MO
Other
Enumeration date
11/29/2007
Last updated
02/04/2021
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