Individual
AURELIA POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 799-9270
Mailing address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009055
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/23/2020
Last updated
05/06/2024
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