Provider Demographics
NPI:1134333776
Name:SALABER, ADAM (PA)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:SALABER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1400 US HIGHWAY 61
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-4100
Mailing Address - Country:US
Mailing Address - Phone:636-931-5080
Mailing Address - Fax:636-937-7321
Practice Address - Street 1:1400 US HIGHWAY 61
Practice Address - Street 2:SUITE 310
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4100
Practice Address - Country:US
Practice Address - Phone:636-931-5080
Practice Address - Fax:636-937-7321
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2011-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2001001426363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant