SUSY ALIAS

SAINT LOUIS, MO
NPI1750332680
Professional NameSUSY ALIAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: MO  R9895)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: MO  R9895)
Enumeration Date2006-05-15
Last Update Date2022-07-21
Business Address
SUSY ALIAS MD
1 JEFFERSON BARRACKS DR JEFFERSON BARRACKS, VA
SAINT LOUIS, MO 63125-4181
Phone number: 314-894-6629
Mailing Address
SUSY ALIAS MD
1 JB DRIVE JEFFERSON BARRACKS
ST, LOUIS, MO 63125
Phone number: 314-894-6629
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