Pro Health Associates, Llc | |
4 Dobbs Ln Lake Saint Louis MO 63367-4216 | |
(636) 385-3347 | |
Not Available |
Full Name | Pro Health Associates, Llc |
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Speciality | Nurse Practitioner - Family |
Location | 4 Dobbs Ln, Lake Saint Louis, Missouri |
Authorized Official Name and Position | Vonda Gail Gibson (NURSE PRACTIONER, RN) |
Authorized Official Contact | 6363853347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pro Health Associates, Llc Po Box 93 Wentzville MO 63385-0093 Ph: (636) 385-3347 | Pro Health Associates, Llc 4 Dobbs Ln Lake Saint Louis MO 63367-4216 Ph: (636) 385-3347 |
NPI Number | 1245824226 |
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Provider Enumeration Date | 02/21/2021 |
Last Update Date | 01/15/2025 |
Identifier | Type | State | Issuer |
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1245824226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |