ELLIOTTE SCHAFER BOURNE

ROLLA, MO
NPI1366155442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2024005757)
Enumeration Date2023-01-03
Last Update Date2025-04-30
Business Address
ELLIOTTE SCHAFER BOURNE PA-C
1050 W 10TH ST
ROLLA, MO 65401-2905
Phone number: 573-364-9000
Mailing Address
ELLIOTTE SCHAFER BOURNE PA-C
1050 W 10TH ST
ROLLA, MO 65401-2905
Phone number: 573-364-9000
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ROLLA DERMATOLOGY LLC