Individual
LAURA ELIZABETH RIESBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 373-5740
Mailing address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(313) 373-5740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
12/16/2019
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