Individual
CASEY MARIE GOETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 ZUMBEHL RD, SAINT CHARLES, MO 63303-2723
(636) 206-2690
(636) 206-2691
Mailing address
2031 ZUMBEHL RD, SAINT CHARLES, MO 63303-2723
(636) 206-2690
(636) 206-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020011297
MO
Other
Enumeration date
01/21/2021
Last updated
11/02/2022
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