Individual
AMY MICHELLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
633 EMERSON RD STE 10, CREVE COEUR, MO 63141-6739
(314) 991-2150
(314) 991-2149
Mailing address
633 EMERSON RD STE 10, CREVE COEUR, MO 63141-6739
(314) 991-2150
(314) 991-2149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2009009277
MO
Other
Enumeration date
04/27/2009
Last updated
02/11/2019
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