Individual
MR. MARK D SAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4205
(314) 251-1053
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4205
(314) 251-1053
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2003011041
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00666812
RAILROAD MEDICARE
MO
Enumeration date
02/02/2006
Last updated
03/28/2018
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