Individual
MISHA ANNE SUMMERHAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2707 W EDGEWOOD DR, SUITE 102, JEFFERSON CITY, MO 65109-5888
(573) 761-1830
(573) 761-1829
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014020543
MO
Other
Enumeration date
10/10/2011
Last updated
03/04/2022
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