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Marissa Taylor, PA-C
NPI 1598099806 · on the registry since 2009
Practice
- Address
- 714 Gravois Rd Ste 210
Fenton, MO 63026 - Phone
- (636) 660-9850
- Fax
- (636) 660-9851
- Organisation at this address
- Mercy Hospital South
Fenton Pediatrics, L.L.C.
Wuca-Fenton Pediatrics, Llc
St. Anthony'S Physician Organization
St. Anthony'S Physician OrganizationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri