MRS. Vanessa Marie Stults, PA-C

NPI #1689869588 in O Fallon, Illinois

Provider Information

NPI Number
1689869588
Entity Type
Individual
Name
MRS. Vanessa Marie Stults, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 13, 2007
Last Updated
Dec 28, 2021

Practice Location

Address
100 SPRINGFIELD CT
ZIP Code
62269-2495
Phone
(618) 632-3565

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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