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Individual

MS. COURTNEY SEELBACH HOSTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4921 PARKVIEW PL, DIV SURG TRANSPLANT, STE 12B, SAINT LOUIS, MO 63110-1032
(314) 747-9889
(314) 361-4197
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 747-9889
(314) 361-4197

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2009010045
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220035247
MO
Enumeration date
07/09/2009
Last updated
04/25/2024
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