| NPI | 1366183097 |
|---|---|
| Other Name | ANDREW SHERIDAN |
| Entity Type | Organization |
| Authorized Contact | ANDREW SHERIDAN Csfa 636-346-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 208600000X Surgery |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-05-06 |