Individual
MRS. BETHANY CATHERINE CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-2880
Mailing address
7727 JEROME AVE, SAINT LOUIS, MO 63143-1103
(815) 527-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022008546
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/12/2021
Last updated
10/19/2022
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