AUSTIN SOUTHMAYD

SAINT LOUIS, MO
NPI1275240152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2022043266)
Enumeration Date2022-11-01
Last Update Date2022-11-01
Business Address
AUSTIN SOUTHMAYD PA-C MLS
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
Mailing Address
AUSTIN SOUTHMAYD PA-C MLS
130 PRAIRIE MEADOW CT
SAINT PETERS, MO 63304-7713
Phone number:
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