Organization
DONNAN ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DONNAN CSFA (SOLE OWNER/OPERATOR)
(314) 210-9925
Entity
Organization
Contact information
Practice address
516 CAULKS HILL RD, SAINT CHARLES, MO 63304-7430
(314) 210-9925
Mailing address
PO BOX 1752, SAINT CHARLES, MO 63302-1752
(314) 210-9925
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922646843
NPI
—
Enumeration date
03/12/2020
Last updated
04/15/2024
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