Individual
ALEXIS J BOURAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BROOKINGS DR, SAINT LOUIS, MO 63130-4899
(314) 935-6666
(314) 696-1214
Mailing address
1 BROOKINGS DR, SAINT LOUIS, MO 63130-4899
(314) 935-6666
(314) 696-1214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
04/01/2026
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