HALEY BANTZ

SAINT LOUIS, MO
NPI1659909943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2021009043)
Enumeration Date2020-03-31
Last Update Date2024-03-11
Business Address
HALEY BANTZ PA
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-1328
Mailing Address
HALEY BANTZ PA
10010 KENNERLY ROAD 3 SOUTHBRIDGE
SAINT LOUIS, MO 63128
Phone number: 314-525-1328
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