Individual
MARISSA LEANN MCPIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 617-3814
Mailing address
800 ADAMS CT, MONTICELLO, IL 61856-2205
(217) 898-2721
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
03/13/2024
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