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1275240152
AUSTIN SOUTHMAYD
SAINT LOUIS, MO
NPI
1275240152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2022043266)
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
AUSTIN SOUTHMAYD PA-C MLS
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
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Mailing Address
AUSTIN SOUTHMAYD PA-C MLS
130 PRAIRIE MEADOW CT
SAINT PETERS, MO 63304-7713
Phone number:
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