MS. Stacie Rennie Avery, PA-C

NPI #1023079407 in Columbia, Missouri

Provider Information

NPI Number: 1023079407
Entity Type: Individual
Name: MS. Stacie Rennie Avery, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 28, 2006
Last Updated: Oct 18, 2023

Practice Location

Address: 800 HOSPITAL DR
City: Columbia
State: Missouri
ZIP Code: 65201-5275
Phone: (573) 814-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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