Individual
JANE CRIDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
3009 N BALLAS RD, STE 365 C, SAINT LOUIS, MO 63131-2322
(314) 991-0137
Mailing address
7007 MARYLAND AVE, SAINT LOUIS, MO 63130-4415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110580
MO
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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