MELISSA LYNNE PORTELL

SAINT LOUIS, MO
NPI1942624077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2016030858)
Enumeration Date2014-02-10
Last Update Date2025-04-17
Business Address
MS. MELISSA LYNNE PORTELL PA
4921 PARKVIEW PL DEPT OTOLARYNGOLOGY, STE 11A
SAINT LOUIS, MO 63110-1032
Phone number: 314-362-7509
Mailing Address
MS. MELISSA LYNNE PORTELL PA
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-362-7509
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