Provider Demographics
NPI:1265793459
Name:MILLION, SUZANNE WEBB (PA MMS)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:WEBB
Last Name:MILLION
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Gender:F
Credentials:PA MMS
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Mailing Address - Street 1:4921 PARKVIEW PL STE 14A
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1032
Mailing Address - Country:US
Mailing Address - Phone:314-454-8778
Mailing Address - Fax:314-454-5298
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:STE 6A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-747-2500
Practice Address - Fax:314-747-2521
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2021-02-11
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Provider Licenses
StateLicense IDTaxonomies
MO2012009377363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant