Individual
MISS MOLLY ANN DILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD, STE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Mailing address
621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2007012443
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
856976
HEALTHLINK
MO
Enumeration date
05/18/2007
Last updated
03/05/2009
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