Individual
ELIZABETH ANN HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4492
(314) 525-4481
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2008020159
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922262377
—
MO
Enumeration date
07/15/2008
Last updated
04/23/2018
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