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Individual

MS. MARTHA HURST DEADY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
JOHN COCHRAN VAMC 915 NORTH GRAND AVE., 11FJC, ST. LOUIS, MO 63106
(314) 652-4100
(314) 289-7612
Mailing address
3042 JAMIE CT, ARNOLD, MO 63010-2573
(636) 282-0951

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
113743
MO

Other

Enumeration date
04/18/2006
Last updated
07/08/2007
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