Individual
OLIVIA S EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11155 DUNN RD STE 309E, SAINT LOUIS, MO 63136-6111
(314) 953-8799
Mailing address
11155 DUNN RD STE 309E, SAINT LOUIS, MO 63136-6111
(314) 953-8799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021047997
MO
Other
Enumeration date
05/26/2020
Last updated
05/09/2023
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